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ELEt�_'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 /> �0 3 Gx,� w rtY _`��ra�.,� — La1- � <br /> PROJECT ADDRESS , I � <br /> R�+a �E �s.�oo 0 �+d�ut� � <br /> Owner Mail Address City StatelLip Phone �'j <br /> S <br /> � <br /> Tenant � Mail Address City State2ip Phone � <br /> �G?1� �Zi:� c�2 l C. l rV L , <br /> Elec�rical CoNfactor Mail Address Ciry StatelZip Phone <br /> �eTibt l 32Z�IL �SaU '' <br /> State License Number Contract Price oi Work <br /> SF2 <br /> Proposed Use of Building Contact Persan (Plan Review) <br /> Description of Work to Be Done: (.t�� �� N cZL� �' / b�G'GL F i}�{ 2�'S 11a6�Gt: <br /> /�'dC� SQ i�i -r G�-� .5z5o s Fr '�,oa �u P�r�-� ,c� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES IiTILIZING 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 BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED 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 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 /> ACCESSIBLE 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 /> I HEREBY CE.9TIFY THAT 1 HAVE READ AND EXAhiINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISfONS OF L7LYS AND OROfNANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIEO HEFEIN OR <br /> NOT. THE GRANTING OF A PEAMIT DOES NOT PRESUhfE TO GIVE AUTHORITY TO VIOL,•1 i E OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W REGULATING CONSTFUCT/ON OR THE PERFORMANCE OF CONSTqUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PFOPEATY TO PEAFORM TF'E WOFK FOR WHICH APPLICATlON IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 FCW AND 296200 WAC. <br /> C^ <br /> II_ _ d Z FEE ,��� c'7 <br /> Signature Date <br /> ELECAP�FEV fl2001) � O�I� ,�Q n y�. <br /> �d <br />