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ELEC RICAL PERMIT AI�r�LlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Z. � 4 2 _n ��. v►� � ! /��e <br /> PROJECT ADDRESS <br /> /�f�na C'��� Z/OL - ce�u»,6,� �vti �'���e�f /.r� Q�3 �yS S"�yph3 <br /> Owner Mail Adtlress <br /> Ciry State2iP Phone <br /> Tenant ' Mail Address Ciry State/Zip Phone <br /> gr�n� itr �enntGiiDN tNc Og �x z+s8 �v�reH wl? q za3 �/ZS yZ7 oz�9 <br /> Electt,,.,;C..,,,,a,.,,,, � mau.�ooress Ciry State/ZIP Phone <br /> g�P T G-/�cs vo z�, ` /BSd w�'1'�i >A��' � /°i��M+�'� <br /> State License Num6er Contract Price of Work <br /> s � F n . � <br /> ?roposed Use of Bmldmg Conlact Person (Plan Review) <br /> Description of Work to Be Done: � Q q e.r /DdAinn pN G-r ,��� TH��C� �� <br /> l��@'w.1 �At t� /n..��.f �lY'!-i r� =q.f�'QL� �!/'i'l �tN C'nwN�Yr �//�G irE— <br /> L�{...�_s�;�'1' L�_�_Qn �!� !�. �/- <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 BE ISSUED. WqC 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 IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITH�N 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 TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> FiANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABCVE THE FLOOR. <br /> � <br /> 1 HEREHY CE.971FY 7HAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME 7'O BE TRUE AND CORAECT. q(,L I <br /> PROVISIONS OF L7 WS AND ORD/NANCES GOVeRNING 7H1S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, TNE GRANTlNG OF A PERhlI r DOES NOT PRESUME TO G1VE AUTHORITY TO VIOLATE OR CANCEL T HE PFOVISIONS OFANY OTHER <br /> STATE OR LOCAL L7W REGULA7ING CONSTFUCTlON OR THE PERFORM1fANCE OF CONSTRUCTION. THAT f AM AUTHORIZED BY THE <br /> OWNER OF THlS PF,OPERTY TO PERFORM THE WORK FOR WHICH APPLlCATION !S MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS 41 W 78,27 RCW AND 256.200 LYAC. <br /> f <br /> �� /a-z y -o z FEE <br /> Signature Da�e <br /> ELECAP�REV fl2ppi) <br />