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ELEr,"TRICAL PERMIT � �PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> '`'� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 10rZ1 <br /> �t��l� `�Lv4�c Y"'c�.�� �2� `-L ^ rs,'�. �\ <br /> PROJECT ADDRESS �iBq 3 � �,v �.� rn�ih W 2 <br /> �✓. Pac�c��.c �l � <br /> tz._�����,-r,�� L.,��,.t.tF w/���s��� (��a-s)�Iba-a�o� <br /> Owne� Mail Address Ciry State2ip Phone <br /> Tti� �PS S-1 ��� lo�a� �vsV���. lA » �z.-�4��-H u,�q asa-b� (y�-s) 2- `I-a33d <br /> -�-�-��— <br /> Tenant � MailAddress Ciry State2ip PhoneLl{B.S� <br /> _��o1�t� /U�'���n ,S��e. �i`6� �aJba...r�12c�`�fk a.�`o l��k��It�o �l�a-7S 3 Nq -50�I4 <br /> E31ec ncal Contractor Mail Address City Staie2ip Phone <br /> R�P U I��l 1� 1 -D'-I`-1- � qG ��p'aa <br /> State License Number Contract Price of Work <br /> �Z���v�c��.S�\plj�iv�e�i CO�1\t,c� (J�c, Uhh 1:.1�Y�� <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> DescriptionofWorktoBeDone: �v�>'��\\ G��` S°�'4 0'� `�'��,�C C�v�'�'�-L��,.� '�\`v�,,�ina�d) <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SU:H JOBS MUST SHOW TI�E 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 BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN FACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(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 W.4C 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPL/CAT(ON AND KNOIN THE SAME ?O BE TRUE AND CORFECT. ALL <br /> PROV/SlGNS OF L;ILM1'S AND ORO/NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED NHETHER SPEGFlED HERE/N OR <br /> NOT, THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PAOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULA i ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF 7HIS PROPERTY 7"O PERFORM THE WOFK FOR WH/CH APPLICAT/ON IS MADE AND I COMALY WITH ThtE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br /> �,,,,,� �'�-�k 5_a- o3 rEE 3S - <br /> Signawre Date <br /> ELECAP(REV 8l2001) �0,3 GS—CJ(fJ <br />