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� <br />� <br />ELEt, fRiCAL 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 />12l SE CJe�p-�-{- MA-�i �..�+�v Se.�.,�� C <br />.� <br />PROJECT ADDRESS <br />�/1.��.��� �0 7oSaS� Sv� <br />Owner <br />Mail Address <br />Ciry <br />(G7 <br />State2ip <br />Phona <br />01 ��O c <br />I•1-a� T,.t 1�, �e I Z( SE F Ti' Mh-+� �,:�4-�/ S �`� F�-r�f- � ct$�C' 42�' � 37 <br />Tenant <br />Mail Address <br />Contractor Mail Address <br />PZCS�ET �F�3 cK <br />State License Number <br />Ciry <br />City <br />State2ip <br />?d3 <br />State2ip <br />1 %C�G¢ <br />Contract Price of Work <br />C (} C+pN <br />Proposed Use of Building Contacl Person (Pian Review) <br />Description of Work to Be Done: __T,,� S'�.�< <-( I ��-��- i;c� �„ � l � � i.. �nc'�'r�cr v� <br />Phone <br />Phane <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 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 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 LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTlFY THAT 1 HAVE READ AND EXAAfINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF 111WS AND ORDINANCES GOVEANING THIS TYPE OF WORI( WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GFv7NTING OF A PEFh11T DOES NOT PFESUhfE TO GIVE AUTHOFI TY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER <br />STATE OR LOCAI L7W REGUUTING CONSTFUCT/ON OR THE PEFFORMANCE OF CONSTRUCT(OA'. THAT I AM AUTHORIZEG BY THE <br />OWNER OF THIS PROPEATY TO PEAFORM THE WOFK FOR WHfCH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LIW 19.27 RCW AND 296.200 WAC. <br />—% �-� ��Qai� � � Z ' ( �S -C� � <br />SignaWre Date <br />ELECAP(REV8200q �r, 2 l� —O�$ / <br />T� J <br />FEE <br />