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ELEC1�tICAL PkRMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> iv}� ���Y yy ���f� �����-� ��, <br /> PROJECT ADDRESS <br /> /��'�v%mn,7CC. <br /> �✓. �s�..� /�sov //�..�,i 9 ry .�,��/, L�v«e1�� ��« <br /> Owner Mail Address City S.ate2i <br /> �.�v.-.,,,r::n c,c: P Phone <br /> /J�'SSan /OJc;Y� %�w� 99 >n✓//� <br /> _FV2�'�I�e CJc. <br /> Tenant � Mail Address City S�ate2ip Phone <br /> iii�o/% Nev.� /y7.:tl / '-'� �,�✓e N. r-v. /�7c.r�51/��IIC GJ�,. j8,�71 C3Go) C>2-.34�.1y <br /> Electrical Contractor Mail Address City State2ip Phone <br /> �9�o�ti�i1 oyvo n eX�. �_ y'�o�`/ � `� S'Uo ��� <br /> State License Number Contract Pnce of Work <br /> �i'��/o,�.�l, �2 Ut<</e� sti, .o �/�N �/IiPYL C36o� GSz•38.2y <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �,'y�-, /n 3�L,�/c,�,�v� <br /> G� �'� wc. �� , 5n ,i � ..2 ;�i�c��� .`J���nS <br /> � 3 ol„-ecf�"o-�� / ,�,i, 5 u <br /> � <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 EE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEINAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AfJD 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 E�UIPMENT WITHIN <br /> ACC[SSIBLE SPACES UR ALONG ACCESSIBLc ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F APJD NOT LESS THAN 36 INCHES ABOVE THE rLOOR. <br /> I HEREBY CERTIFY THA7/ HAVE READ AND EXAMlNED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOV/S/ONS OF L7WS AND ORDINANCES GOVERNING THIS TYPE OF WO{iK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL UW REGULATING CONSTRUCT/ON OR THE PEFFORMANCE OF CONSTRUCT/ON. TfiAT I AM AUTHORIZED BY THE <br /> OWNER OF 7H/5 PROPERTI' TO PERFORM THE WORK FOR WHICH APPLICAT/ON IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 FCW AND 296200 WAC. <br /> � !N� "���I . � � h' D Z FEE <br /> SignaNre Date <br /> ELECAP�REV 82001) E O�ZG q-O LZ <br />