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ELECT'�ICAL PERMIT AR�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1� ��l � /� dlNl. �l ?�t (� _ <br /> PROJECT ADDRESS <br /> _ C'� e � ( 6�� � Sp �l •2 !� • Gl��c-F �Ik � �Hrsor ��-r 3 o- Gs9-���� <br /> Ow�e� Mai�Address City State2ip phone <br /> ��1�-ear�.� 113z �.u�„�, G�...� a L'�e,�(-� �I�'�Gf ��,'✓7 f 1'ZS <br /> Tenant ' MailAddress City SWte/Zia Phone <br /> �ti ��t�tc�-Rn �J(, U( L(lUtiCT' N(1f � U�'�t.c � �',�� � .��f � �r4� <br /> Elect Contractor Mail Address City State/Zip phane <br /> �L�T'�.�!�� ss �� Z.L. (7 � �/ �I�� <br /> State License Number Contract Prica of Work <br /> 1`1-� S� � v� � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption ol Work to Be Done: � l.1 ] N G,r 'Y!�r ��C tiL � �i I.��. , �F— <br /> 3�tr a ('Q�n �n��i�A (� �t� Sr '� YU v c� rS� � d � <br /> �1�L�� � �,. <br /> a <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVEC BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVEfi PLANS BEFORE CITY OF EVEREfZ' PERMIT WILL BE ISSUEU. WAC 296-46-140. ALL OTHER <br /> EDUCATIC NAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: �'vIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDI',;APPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON W,aLLS <br /> WlTF:iN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINI�IUM <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 3f INCHES ABOVE THE FLOOR. <br /> I HEAEBY CEATIFY THAT i HAVE READ AND EXAMINED TH/S APPLICATION AIJD IQJOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 6E CCMPLETED WHETyER SPECIFIED HEREIN OR <br /> NOT, THE GRANrING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PRGVI SlONS OFANY OTHER <br /> STATE GR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTIIJN. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TNlS PROPERrY r0 PERFORh1 THE WORf( FOR WHICH APPLICATlON IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> / <br /> �% : � �% � L�i G.3 FEE ��—Yrt�_/ <br /> � <br /> �� Signature / Date <br /> i <br /> ELE AP(REVB/1001) �G?G7���-� . <br />