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�, ELE i RICAL PERMIT A PLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> s=,�> ��4�� t= Lc�Z�ptl 7� ev et�TT Lv��=1 �� ���7 3 <br /> PROJECT ADDRESS <br /> iL'lAn; NuY�v�+ go.��, �L�rida �r �er�t� wt� q�i2c�', <4�)35T-28�� <br /> Owner Mail Address Ciry State2ip Phone <br /> N�+1 . <br /> TenaN � Mail Address Clly StatelLip Phone <br /> 6�i�u�� �fws�9�ti{����i,�7�mvci(!:ci�i� � <br /> Electrical Contractor Mail Address � City Scate/Zip Phone <br /> State License Number Contract Price of Work <br /> 5 r �'` <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Workto Be Done: f11G �+/ ��i TC.t1F I\J � 1(�Cl�l I S ; l(�U LQYt--��/ZCUt'�S� I��' L�LTNT[Nc i <br /> C'IFCU'� R�LhCATr .�9}- �4��// F C�'i.!'vi� �ZtWlrF� DF�'9'��2r�t'�✓-TNGS Ia�FS/f'�� <br /> sa���� OG-;Grrr-�r- �n� �� /V'��ii REJvMs �C„4 _ ��;?C��r � tTr_n�'�R�1�_ Li��hl'iiNG— <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 8E 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 I�I 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 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 TflAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HERE9Y CERTIFV THAT I HAVE READ AND EXAr111NED TH/S APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF L7 WS AND ORDINANCES GOVERNING TH1S TYPE OF WORK WILL BE COMPLETEO WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF:1 PERMIr DOES NOT PRESUME TO GIVE AUTNOFITY TO VIOLATE OR CANCEL THE PqOVISIONS OFANY OTHER <br /> STATE OR LCCAL LAW FEGULATING CONSTRUCTION Ofl THE PEFFORM1fANCE OF CONSTRUCTION. THAT/AM AUTHOF/ZED BY THE <br /> OWNER OF THIS PROPEn'TY TO PERFORM THE WORK FOR WHICH 1PPLICATION IS MADE AND I COMPLY W/TH THE STATE <br /> CONTRACTOFS LAW 7827 RCW AND 296.200 WAC. <br /> ��.,.. � ". ' � , <br /> iIV`�,L7l,r���li;U��� S/��10� FEE <br /> Signa;ure Date <br /> ELECAP�RE4 B/2001� <br />