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ELECI'�ICbL PERMI'� APt�i_ICQTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />%Z_ G' . � �S",-G�^-�.��-/� Lc54L� � � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />�6u r[(� ( 7''0 7 E�� <br />Mail Adtlress <br />P�'�Lv N �b.i i;vG, <br />�-•H�f-�,�3— R b'co l�nr� <br />Contractor A"ail Address <br />l�M�tiNio4y�D <br />State License Number <br />C�;� u vt 'u E.¢-[— <br />Proposed Use of Bwlding <br />Description of Work to Be Done: <br />City <br />Cily <br />City <br />State2ip <br />State2ip <br />A, 45'z� <br />State2ip <br />Phone <br />`tL7) 3r,i'- 9� 85 <br />Phono <br />z� 3Y9-5�5"f <br />Phone <br />�/�.v�`' <br />Contracc Pnce of Work <br />��A.n! C�1�1�L��}"t%�LLa Ny��J <br />Contact Person (Plan �eview) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />�VITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE qOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE TFIE FLOOR. WAC 51-20 SEC. 310fi(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 5140 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />�_ <br />I HERE9Y CERTIFY THAT 1 HAVE READ AND EXAM/NED Ty�S APPGCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PFOVISIONS OF L7 WS AND ORDINANCES GOVEFN/NG THlS TYPE OF WORX WILL BE COMPLETED VJHETHER SPECIF/ED HEREIN OR <br />NOT, THE GRANTiNG OF A P�RMIT DOES NOT PRESUAfE TO GIVE AUTHOR/TY TO VIOL7TE OR CANCEL THE PROVIS/ONS OF ANY OTHER <br />STATE OR LOCAL L7W REGUTATING CONSTRUCT/ON OR rHE PERFURMANCE OF CONSTRUCTION. THAT I Afd AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PEHFORM THE WORK FOR WHlCH APPLICATION IS MAOE AND 1 COMPLY W17H THE STATE <br />CONTRACTOAS LAW 18.27 FCW AND 296.200 WAC. <br />Signature <br />ELECAP�REV 8l2C01) <br />/Z2- , � <br />C�� � <br />Date <br />Eo3o�-r��� <br />FEE <br />