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ELEC�t21CAL PERMIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVICES a3 -�o <br />3200 CEDAR STREET, EVERETT, WA 98201 �" <br />425-257-8810 - FAX 425-257-8857 C/ ODCj�II V <br />��f��z � �, r �;�. �1��11«Y �-��=,-r�1, ��q. Y��'�� <br />PROJECT ADDRESS <br />;j-��:.r�.�,� r-��,.:�fr�ll �cc �vc� S.E �,,... a <br />Tenant <br />� <br />Maii Addrasa � <br />! ! z �l_- � l,: i� <br />Mail Address <br />J)�' l� r �`;i <br />Meil AtlOress <br />L�'.1�!A1;. /3zf111 <br />Slate License Num6er <br />c'i ,:,,Kcrc;rl �:f�S�;lvl rl�ti'x.��,.. -> ����r�� <br />ProposetlUseof uiltling ./ <br />Descnption of Work lo Be Done: <br />( ��) %1c'�. 1Cu, f.� <br />Ciry <br />Ciry <br />Cfty <br />`l �v�� ;i �'��5 i 1 �"I <br />State/Lp Phane <br />StatelZip Ptrone <br />�,1.�. �(�C �J i �fJS � ��`b" �/� y�, <br />StatelZip Phane <br />� � ��'C:�..� <br />Contract Price of Work <br />�.J�x. �-,it%� <br />Contact Person (Plan Review) <br />�- c.-v,�uc �-S� <br />-Y � � ,[ � <br />�C �.�(i:-al %7 � i.: f� i-� � �eti/%!U-S � /%C'i. �ut.q � 5' �r4N�r'%� ./i /I"{idi+k..:/ iZUn� �t���...;qit <br />i � <br />�f . <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING ST4TE FUtvDS MUST BE <br />APPROVED 8Y TiiE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFCRE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 298-46-140. ALL OTHER <br />EDUCATIONAL FACILITIE:� AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE. WIRING IN NOIJ•DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, A1C OR AC CABLE. <br />HANDI('APPED ACCESSIBILITY: ELE�TRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ,�f:CESSIBLE 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 />ENVIRONM�NTAL .1ND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSII3LE SPAC�S OR ALONG ACCESSI4LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TtiE 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 CERTIFY lrlAT 1 HAVE REAl� AND EXAh1/NE0 THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4 W5 AN� ORDINANCES GOVERNING TI a15 TYPE OF WORK WILL BE COMPLE7E0 WHE rF1ER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES N07 PRESUh!E TO GIVE AUTHORITY TO V10L4 TE OR :ANC�L THE PROVISIONS OF ANY UTHER STATE <br />OR f.00AL LAW REGUiATING CONS7RUCTlON OR 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE OWNER OF <br />rHIS PROPERTY TO PERFORM THE WORK �OR WHICH APPLICATION IS MADE AND I COMPLY 1YIh1 Th� STHTE CONTRACTORS U1 W 18.27 <br />RCWAND �96.200 WAC. <br />' j,/ ,. J/�C/�.. <br />Signatwa .' Da}e <br />ELECAP(REV 82001) <br />FEE <br />