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ELEC;'�ICAL PERMIT Af �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �Q7,�� Cvbu//<./ Qvti�fi �g� 3 <br /> PROJECT ADDRESS <br /> �'eNN L � SfF�-�tJ �Hit� G S po V`u� � J b ' C �Yb <br /> Owner Maii Address City StatelLip Phone <br /> Tenant � Mail Address City State2ip Phone <br /> ,S��I U a-s7` �lee�,,. �fon 2 Styul�i /�c,e F_v"Cl` . IA�GI �' �/ ?-C�-�s g' 1 <br /> Electrical Contractor Mait Address Ciry State/Zip Phone <br /> s�alfUe� 99'�ti/ _$ l. S�'S. o0 <br /> State License Number Contra t Price of Work <br /> �s i �Pe�.��e <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ol Work to Be Done: �p, �/f� p�� �f/�.,p �l.t,Q�2y+ ,�j q� ��Q (�{�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING Sl'ATE FUNDS MUST BE <br /> PPPROVED 8Y THE STATE OF N/ASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CIT'f 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 RE�UIRED 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE 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 HEREBY CEArIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVIS/ONS OF L7 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK bVILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRANTlNG OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OLVNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> I/'v-a��• (9�i�C. ����— O 3 FEE � � S Q-0 <br /> Signature Dale <br /> ELECAP�REV8.2001) Eo3p8-c� �. <br />