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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 /> -Ik; <br /> io�� 9 Dal�of� I,✓G „ —L.��1- <br /> PROJECT ADDRESS <br /> � r�cs�vlc �omc5 <br /> Owner Mail Adtlress Ciry Slate/Zip Phone <br /> Tef18�t � Mail Address City State/Zip plw�e <br /> No���'hwGsf Elc�+i��a� Suvr�s �rli �6„ lw/4- �'?£(.�73 �s ofrSOg/ <br /> Electrical Contractor Mail Address Ciry StatelLip Phona <br /> N�2r�t t5 �o ic � 4,$00 , o � <br /> State License Number Contrad Price of Work <br /> _1Ze�,��ul — S � 1� <br /> Praposed Use of Fluilding Contact Person (Plan Review) <br /> Description of Work to Be Done: �F✓irL � 7 '�l<� S% �� �ia.�- �OQf} SClV/r� <br /> _ �('7C� t4vr� n SP�yIY' 'P <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 StiOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETi 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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLcS 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 EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OF ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEnTIFV THAT 1 HAVE READ .4ND EXAMINED THIS.4PPLICATION AND KNOW THE SA6fE TO BE TFUE AND CORFECL ALL <br /> PROVISIONS OF WWS AND OnDINANCES GOVEFNING 7HIS TYPE OF WOFiX WILL BE COMPLETED WHETHER SPECIrIED HERE'IN OF <br /> NOT, THE GRANTlNG OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL7TE OA CANCEL ThIE PROV(SIONS OF ANY OTHER <br /> STATE OR LOCAL L:16V REGUGIT/NG CONSTFUCTION OR 7HE PERFOFh1ANCE OF CONSTRUCTION. TNAT 1 AM AUTHORIZED BY THE <br /> OWNER OF TH/S PFOPcFTY TO PERFOFM TNE WOFK FOR bVHICN APPLICATION /S MADE AND 1 COMPLY WITM THE STATE <br /> CONTRAC70FS LiIN 18.27 FCW AND 296200 WAC. <br /> .���" ��-- �I-/S - �� FEE �r� � <br /> 7 <br /> Signatur Date <br /> ELECAP(REV8200t) � Q �I I � �OI <br />