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ELECTft.ICAL PERMIT APN�ICA�'ION <br /> '"' CITY OF EVERETT PERMIT SERVICES <br /> � . 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� ��c--��a�r� ���- ,���r-- ��- <br /> PROJECT ADDRESS 9��5 <br /> �,6`l/,�1'� G�•v.s'i'z�cz'lo-J r,JL ,�o �o,r s�/ L!� /�`'�i.��,� w = <br /> Owner Mall Address City State2i <br /> p Fhone <br /> ,�.c� �s3 �j51"� <br /> Tenant h7ail Atldress Ciry - �State2ip _ Phone <br /> � i <br /> 5 rF_v�= Di�vca-,J F'J�crric ���� � '�'/ � �c �� , , ' . ��;�'���,� <br /> (; �- I r _. , <br /> EleCtrical Contreclor Mail Address City State2i <br /> p Phane <br /> S� �VE.d C �p�JQ P �—� <br /> Slate License Number Contract Pnce of Work <br /> _��/s��-�� C-�•��- ��s �-�X ��' ����� �Gst a,�z <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: _ �jf J7�L �? �j6D ��� — <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 EVEREI'i PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HE,aLTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFF�CE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 /> ENVIRONti1ENTAL AND"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> � ACCESSIBLE SPACES OR ALONG AC:CESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN 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 HEFEBY CERTlFY 7HAT I NAVE FEAD AN� EXAhI1NED THIS APPLICAT/ON AND KNOW THE SAME TO BE 1 FUE AND COFRECL ALL <br /> PFCVISIONS OF LAtYS AND OFDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECfF1ED HEREIN OF <br /> NOT, THE GFAN7ING OF A PEnhIIT DOES NOT PRESUM1fE TO GIVE AUTHORI7Y TO VIOIA7E OR CANCEL THE?ROVISlONS OF ANY OTHER <br /> S�ATE OR LOCAL LiW FEGUWTING CONSTRUCTION OF THE PEFFOFhIANCE OF CONS7FUCTION. THAT 1 AM AUTHOFIZED BY TNE <br /> OWNER OF THIS PFOPERTY TO PEFFOFhf The LVOFK FOF 4Y'HlCH APPLICAT/ON IS M1IADE AND I COMPLY WITH THE STATE <br /> CONTRdCTOFS L7 LN 18.:i FCW AND 296,200 WAC. <br /> � ' <br /> i <br /> � f �- O /S O/ FEE <br /> Si�natu /Da�e <br /> El"cCAP(FEV&2001) I i r� _ /`��� -:' <br /> V <br />