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�LECTf�'CAL P�RMIT AP� �ICAi'IOf� <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> � 3200 CEDAR STNEET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� �. �/�� � a �� <br /> PROJEC ADDRESS <br /> S ;� {, s � ,� �- <br /> Owner Mail Address Ciry Slate2ip Phone <br /> �{1� � <br /> Tenant � MailAdtlress City�n / �tatJe2ip /� Phone <br /> GL-G r f�' S /� /1C'• 73� o�-J`—D J l• /tl� S 7'�1rtt70arJ' �l/�i /`d � ! Z <br /> Electrical Gontr ctor Mail Address Cily State2ip Phona <br /> �l_�, v ,� �?`03 9 �9 �/�no• °-- <br /> State License Number Contract Price of Work <br /> �'� s • �a�,•.� l� ��G,. �C <br /> Proposed Use ol Build�ng Contact Person (Plan Review) <br /> Descrip!ion of Work to�e Dane: I� ��� �M S P f U(�C e � "�`'i`� <br /> a. � oµ � �s ,� h k< < � .�,� <br /> 3 . � �ah i7 �t �� � �' T' �/ /�.0� <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 EVERETI' PERMIT WILL 8E 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•DVVELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR A�CABLE. <br /> HANDICAPPED ACCESSIBILITY: E�ECTRICAL AND COMMUNICATIONS SYSTEM PECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBI E 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 CERTIFY THAT I HAVE FEAD AND EXAMINED � 11S APPLICAT/ON AND KNOW ';HE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF G�bi!S AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL 6E COMPLETcD WHETHER SPECIFIED HEREIN CR <br /> NOT, THE GRANTING OF A PERh41T D�ES NOT PAESUME TO GI VE AUTHORlTY TO VIOLATE OR CANGEL THE PROVISIONS OF ANY OTHEH <br /> STATE OR LOCAL 111W REGULATING CONSTRUCilON OR THE PERFOAMANCE OF CONSTRUCTION. THAT 1 AM11 AUTHORIZED BY 7HE <br /> OWNER OF THIS PROPEATY TO PERFORM THE WORK FOR WHICH APPLICATlON /S MADE AND ! COMPLY WITH THE STATE <br /> CONrR r S IAW 1827 RCW AND 296.200 WAC. <br /> �� /,� -�,j- ��U/ FEE J <br /> � <br /> Signalure Date <br /> ELECAP(REV8200q ��%Z �L�J / <br />