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ELEC ICAL PERMIT AP ZICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��1D�( I,,r,�.r�n � 1 _ <br /> PROJEC'fADDRESS <br /> ��,�;5 � ��; �' ;�;�i� �y ���P c �r�- wA ��ao'� <br /> Owner Mail Address Ciry SWtelLip Phone <br /> �,.,v..<��n�.lP <br /> Ten3nt Mail Address City State/Zip Phone <br /> �vd�'1er <br /> Electrical CoNraClor Meil Address Ciry State2ip Phone <br /> State License Piumber Contract Price of Work <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: �evJ C�P.c'�c�ca� Sco� Y1e.Nl /rn'�S�C��rn'I Sra! n1 r�t��M d/L-� <br /> ��� hP.� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 6Y THE STATE OF WASHINGTGiJ. .4P�LIr!�NTS WITH SUCH JOBS MUST SHOW THE STATF <br /> APPROVED PLANS BEFORE CITY OF EVEREl-I" PERP.IIT WILL BE ISSUED. WAC 296-4R-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED B r 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 E�UIPMENT WITHIN <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 & F AND NOT I_ESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COF4ECT. ALL <br /> PROVISIONS OF LA WS AND OROINANCES GOV�FNIh'u THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED iERE1N OR <br /> NOT, TNE GRANTING OF A PERMlT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF.iNY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTRUCTfON OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS W 18.27 RCW AND 296.200 WAC. <br /> � � <br /> � <br /> a S o FEE <br /> Signature Date <br /> ELECAPIREVB2001) �QY���(l� C.j/ <br /> / � t A <br />