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ELE( TRICAL 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 /> �.�1.LLo L�� .�'07`'- C�/ �� / <br /> PRO ECT ADDRESS <br /> � r ��/ <br /> n � I^ t'NT�rnr.c�s <br /> Owner � Mail Address Ciry State(Zip Phone <br /> Tenant � Meil Address City State2ip Phone <br /> �lp�',�,�rH L,�L��rs� � T. /� -*IS-� ,Ul" �'�� .,� L��� 98�231 ��s9,8S� <br /> Electncal Contract Mail Address Ciry StalelLip Phone <br /> �i�7� r �f�(� <br /> State License Num er Contract Pnce of Work <br /> �—s-1 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> i q <br /> Description of Work ro Be Done: ���Y� �/*�,�� � app �n L,//6 TPI�C� �r <br /> f <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 RE 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: ELECTAICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL 5HALL BE MOU�TED 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 WITHIiV <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& r AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATlON AN�KNOW THE SAIv1E TO HE TqUE AND CURRECL ALL <br /> PFOVISIONS OF L7LNS AND ORDINANCES GOVERNING THIS TYPE CF WORK WILL BE COMPLETED WHE7HEA SPEClFIED HEREIN OR <br /> NOT, THE GRANTING OFA PERMIT OCES NOT PRESUAIE TO GIVE AUTNORITY TO V/OWTE CR CANCEL THE PFOVISIONS OF ANY OTNcR <br /> STATE OF LOCAC LAW AEGULATING CONSTFUCTION OR THE PEFFORMANCE OF COA'STRUCTION. THAT I AM AUTNORIZED BY TNE <br /> OWNEA OF TNIS PROPERTY TO PEFFORM THE WOFK FOR WHICH APPLICATION IS h1A0E AND 1 COMPLY WITH THE ST4TE <br /> CONTRACTORS 4iW 1B.27 FCW AND 296.200 WqC. <br /> 1�1,������� I i G -�a FEE �� �' <br /> Signa re Date <br /> ELECAP�REV 82001) <br /> ��'o� il� c�2� 3 <br />