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��, ELE�T'RiCAL PE�MIT Q� �PLICATION <br /> ��!� CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��� ��y� �W°p�J� �.Gf�JT� - D��o�` �cTT)� <br /> PROJECT ADDRESS / <br /> —"�l)-7'/J��� <br /> Owner IAall Addrass City Slate2lp Phone <br /> �S"3 b �U�-�j�-� tJA-� �V�,v� ►vA �J �h <br /> , <br /> Tenant � i Mnil Address Ciry State2ip Phono <br /> ��C,,,,,�_ . <br /> EleclricalCon�ractor MaitAddress City StatelZip Phona <br /> �� D_C�lec_'�� /�-tL/�_.L�c� /{-(tie- �C ��CY� � <br /> State Licen e Number ��-� C act Pnce ot Work <br /> 1����� �S�`"�- cya,c�--) <br /> Proposed Use of Bwld ng Gontact Person (PI n Review) <br /> Description of Work to Be Done:C� �i �A� � <br /> r <br /> ..I. � o ��,�.(^f'! ,� <br /> NOTE: PLANS FOR cLECTRICAL 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 FERMIT 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 RE�UIRED TO BE IN RACEWAYS, 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 MINIMUht <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 WAC 57•20 SEC. 3106(b)4 E � F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CERTIFY THAT 1 NAVE FEAD AND EXAMINED 7NI5 APPL(CATlON AND KNOW THE SAM11E TO BE TRUE AND CORRECL ALL <br /> PROVISlONS OF L7WS AND OFD/NANCES GOVEFN/NG THIS r'YPE CF WOFK W/LL 9E COMPLETED t7HETHER SPEClFlED HEREIN OR <br /> NOT. THE GRANTING OF A PEn'MIT DOES NOT PRESUME TO GIVE AU7HOFITY TC V/041TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGUG7T/NG CONSTFUCTION OR THE PERFCFtilANCE OF COh'STFUC7�ON. TNAT 1 AM1f AUTHORIZED BY THF <br /> OWNER OF T1i1S PFOPEATY TO PERFOFM TNE WOFK FOR LYHfCN APPL/CATION /S hiADE AND I COMPLY W17H THE STATE <br /> CONTRACTORS GiW 78.27 FCW AND 296.200 INAC. <br /> 1 <br /> � <br /> �— t�1— -6 FEE <br /> S naNr Date <br /> ELECAP(qEV Bf2N1) �GZ�Z�O�Z <br />