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ELECT�ICAL PERMIT APt'i_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i <br /> l'�ZI ! F��c���)A D�2iV� -EV�2Gi7 9F�z� <br /> PROJECT ADDRESS <br /> I�1 �KL �Hv`i5 BL�� F�or�rlla�=l �ti''�1/� ��,���7r cJ�a `1�>�c�3 �� - 353-.3c�.3 <br /> Owner Mail Address Ciry State2ip Phone <br /> � ��n'1� <br /> Tenant � Mail Address Ciry State2ip Phone <br /> Conk i�ao�� ���=c7����Nc. 3s�51 �'� �Nc A�U� EV���' � w� `��o� �25�7-�3 <br /> Electrical Contractor Mail Address City� � State2ip Phone <br /> � � - - �L� �i�3r� 2��� i�so.ao <br /> Stale License Number Contract Price of Work <br /> i�l�a t DCN i i�L '� �s7��� k���2Ca iYl r�� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriptian ot Work to Be Done: �/�/��(� �H-{-��V�7[�l�L�/��� �� !� ���C� — zGG A1�� d� <br /> UIV� �i � V� I`=�Ci f4►'►')(� C i K'L�t 17 <br /> NOTE: PLAN5 FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPitOVED 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?O BE IN RAGEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCFSSIBILITY: 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 E�UIPMENT WITHIN <br /> ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL 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 CEATIFY THAT I HAVE FEAD AND EXAMINED THIS APPLlCATION AND KNOW TH�SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVlSIONS OF L7WS AND ORDINANCES GOVERNING THIS TYPE OF WOFK W/LL BE I;OMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT/AM AUhIORIZEO BY THE <br /> OWNER OF THIS PROP£-RTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR.SCTORS L4 bY 78.27 RCW AND 296.200 WAC. <br /> .� <br /> '�� L� -U S FEE <br /> c ,�,L(_ � !, -j?� �J <br /> Signature ` Date <br /> ELECAP(REV BI2001) `j;����� <br /> ✓ <br />