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� <br />ELECi�RlCAL PERMIT A� �LICATION <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREGT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />I�D� /�I/�/�iSO�I vas��y5- y'�aa <br />PROJECT ADDRESS <br />�GuG d- G�21 l,JIL��J 1�4� /�]Ai� 1 SU,cI ��-U�Q�L7T. C�A, �/�637 <br />Owner � Mail Address City State2ip Phone <br />51�tR4Zl CJrLC�1-1 /�D� I�iAp�SU� KU�C2fT�,JR 5�03� y25-3S3-�/Siy <br />Tenant <br />Mail Address <br />Contractor Mail Address <br />State License Number i <br />S i= 2. <br />Proposed Use of 8ui!ding <br />City <br />Ciry <br />Description ot Work to Be Done: � p G%�i�j �L � r�e i��cr, <br />State2ip <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <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 JOf3S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-d6-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEV/ED BY THIS OFF!�E. <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 WP.LLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCE;.'SIBLE ROUTES OF TRAVEL SHALL Bc MOUNTED A �AINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRO��MEfYTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT N.�ITHIN <br />ACCESSIBL� SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE N10UP:?ED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCtiES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOIh' THE SAME TO BE TRUE AND CORRECT. ALL <br />Hr;ny�SIONS OF LAWS ANO ORDINAnlCES GOVERNING TH/S TYPE OF WORK W/LL BE COMPLETED WHETHEfi SPECIFIED HEREIN OR <br />NOT, 7n� GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PAOVISIONS OFANY OTHER <br />STATE OR LCCAL LAW P.EGULATMG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOF/ZED 8Y 7HE <br />OWNER OF TH/S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND f COMPLY WITH THE STATE <br />CONTFACTORS L4W 78.27 RCW AND 296.200 WAC. <br />f� 4�— �-.2S O� <br />Signature <br />Date <br />ELECAP(REV 8/2001) � �j�(�_�G' <br />FEE <br />