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ELECT�ICAL PERMIT AP �ICATION <br /> CfTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � ��� t��� G;� � v va�- y�� � °�� <br /> PROJECT ADDRESyS n ` <br /> �(' c�J / S •k/�� � L. C ��� �P � � �'Gt�/ �� �� __ <br /> Owner Mail Address Ciry StetelLlp Phona <br /> Tenent � . Mail Address City StatelLip Phone <br /> P�'t'.n i�'V s -z,., f g�'� -/Sr�°� Sl� �v�,p e� y.? s- 7.�� S.�oa <br /> Electtical ContraGto Mail Address City StatelLip Phone <br /> P,�� � �� r � /s-o S ,�9� <br /> State License Number Contract Price of Work <br /> �c� P� ,e �- 1.�.���s���/� <br /> Proposed Use of Bui ing Cont t Person (Plen Review) <br /> -�� � /��, , ya s- �s� � s� <br /> Description of Work to Be Oone: X.YiL7'I �XC / — <br /> �oc�e�' � S�v/�rJ /�P <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICAfVTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EOUCATiONAL FACILITIES AND ALL HEALTH CARE FACII_iTIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> ��OTE: W IRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HF.NDICAPPED 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 REC.EPTACLES AND OTHER OPERA6LE EQUIPMENT 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 8 F AND NGT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND E�AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS UF LAWS AND ORDINANCES GOVERNING THfS TYPE OF WOFK WILL 8E COMPLETED WHETHER SPECIFIED HEREIN OR � <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STArE OF LOCAL !AW FEGULATING CONSTRUCTlON OR THE PERFORMANCE OF CONSTRUCTlON. TNAT 1 AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHfCH APPLICATlON !S MADE AND 1 COMPLY WITH TliE S'fATE <br /> CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> � �, �� -a7� <br /> �,L�CZ�'-� Lk-^��-C'�/ FEE <br /> i <br /> Signan�re Date <br /> ELECAP(REV BI2001) <br />