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ELECt: RICAL PERMIT AI' ?LICATION <br /> � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 I <br /> lO/0 SE E✓w�{fti�vll�a, �(r /GO <br /> �ROJECTADDRESS ° <br /> �u�r�� i�n, L �o`oo MP 1 �1, d) 5 tc� Sp 7�1a �.c�q 98/ 3 �lF 3Gl 63.�� <br /> Owner Mail Address <br /> ��ry State2ip Phone x�0� <br /> C(,,. ��, G,C�p.�,�} ilc� l(�:C�� CE� 13e6��`��I,� w� / 9�'�zS. o• <br /> _ �F �'j �,cr,o <br /> Tenant Mail Address Ciry State/Zip Phone <br /> 7r.•c�iT�Pcc-..iMuvi��..s fv�0`/iC[���Goc.� �(E' �N �0� ����W�t C� �(7�2�5 1 � r <br /> ElectncalCoNractor Ata�lAddress �- �.�/ SD�� <br /> C�ty State2ip� Phone <br /> �A �ZoiUT� oo �/ c��_ � �' <br /> State License Num6er ' � ��� ` � U <br /> Contract Pnce of Work <br /> ����'�e S>c, . � � Ma�c I��os� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /� �P��/ip/�� 't I�a`I� (,(�;�,�,� /jpW �/�r ����cC I <br /> — U <br /> .^�— <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 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITI�=S AND ALL HEALTH CARE FACILITIES PLANS W ILL 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 RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRHVEL SHALL BE MOI;NTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SF_C. 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 WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES A60VE THE FLOOR. <br /> I HEFEBY CER7IFY THAT I HAVE READ AND EXAM/NED THIS APPL/CAT/ON AND KNOW THE SAME TO dE TRUE AND CORRECT. ALL <br /> PFOV/S/ONS OF L;iWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHcTHER SPECIFIED HERE/N OR <br /> NOT, THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL TH�PROVISIONS OF ANY OTHER <br /> STATE OR LCCAL LAW qEGUl.ATING CONSTFUCTION OR THE PEAFORMANCE OF CONSTRUCTIOfJ. THAT!AM AUTHORIZED BY THE <br /> OWNER OF THIS PI70PER7Y TO PEFFORM THE WORIC FOR WNICN APPL/CATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRAr,TORS LAW 18.27 RCW AND 296.200 WAC. <br /> �/�� 1 <br /> / ' /CCZC� S- I�o- �eGZ FEE�3�� <br /> Signature Date <br /> ELECAP(REV 812001� <br /> ��-o��S-06 8 <br />