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� <br />� <br />�LEC��ICAL P�RMIT AF�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32�0 CEDAR STREET, EVERETf', WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />(,07 S� �veQclr yti1at� WnY # l3 <br />PROJECT ADDRESS <br />RoR�nls��l P0.op��.i-�E5 soo se LviR�T W1nLLWn�r�A7 tvEQtiT �A qBZoB �IZ5.353,6113 <br />Owner <br />Mail Address <br />Ciry <br />Slate2ip <br />Phane <br />STA¢BRII,�T �-t�R�in�L �.c�Tt`Q 60� Eve267T W1�« lJ�y ¢13 Evetei� (.�A qg208 �izs. s�K 59�z <br />Tenant � Mail Address <br />C uS� o��n �Cs�L�.l sib�l 4 A'aN�„tL ��I� 423 14� <br />Elecirical Contractor Mail Address <br />Ecoy Cus-r'oDsa6GgQ <br />State Ucense Number <br />C-� <br />!d Use af Building <br />Ciry <br />5� g <br />City <br />SlateZp <br />�A A62ZS 3l0 <br />� State2tp <br />I1 C� fJ�, O G <br />Contract Price of Work <br />m.kE wto,�,� <br />Contact Person (Plan Review) <br />� \ <br />DescriptionofWorkloBeDone: �NSTALL (�/ ��ZTZi(�� sl(�/ <br />Phone <br />rl$U <br />Phone <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 CIT'( GF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALl HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACfi <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br />NOT, THE GRANT/NG OF A PERMIT DC °S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHOF)IZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS L4W 18.27 RCW AND 296200 WAC. <br />-�,�w-.�� -�'r��-�-�. 6 - 3 -o-Z, <br />Signature <br />Date <br />ELECAP(REV 8@001) E� � o(�- p 15 <br />FEE <br />