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ELECT�ICAL PE�N{IT �4,r 'L„ICATION <br />CITY OF EVEREiT PERMiT SERVICES <br />3200 C'EDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425457-8857 <br />—>- ,-� � - <br />�� - I-,,.; y;- -) �,� <br />PROJECT ADDRF.SS <br />Owner <br />Tenan! <br />F_.'� i?- <br />/--',,%T.,� � i �,.�'', _ <br />State License Number <br />Prop�eed Use of Building <br />Mail Address <br />Mail Address <br />hlail Addross <br />Ciry <br />City <br />_; , � -' �'L <br />City <br />State2ip <br />State2ip <br />i�J., ��i-,-..�� <br />�. - . <br />Stale2ip <br />��c'%,:7�.,�.%_ <br />Contract Price of Work <br />Pnone <br />Phono <br />;�.�. _C�i'; -r�i ��� <br />Contact Person (Plan Review) <br />Phone <br />Description of Work lo Be Done: 1 �i -,': � �✓.-��J __ _ . � �': t r°C P/''> [`-�' ��: �,-�/'�� � ?Zcn,i�>.•7' <br />y n � . <br />%/"%%'�i;i.J�M(�1�,•/." �.: �'/�.�c �/ 1��L:../'i <br />� j <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS PdUST BE <br />APPROVED BY THE STATE OF WA�HINGTON. APPLICANTS WITH SUCH JQBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY Or E1'ERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FAC:ILITIES AND ALL HEP.LTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEiNAYS, MC OR AC CABI_E. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL ANU COMMUNICATIONS SYSTEPA RECEPTACLES ON VVALLS <br />WITHIN 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(< )2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR A�ONG ACCESSIBLE ROUTES OF 7RAVEL 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 TFiE FLOOR. <br />I NEREBY CERTIFY ThAT I HAVE REAU ANO EXAh11NED 7HIS APPLICAT/ON AND KNOW THE 5AME TO BE TRUE AND CORRECT. ALL <br />PFOVISiONS OF Li WS AND OROINANCES GOVERNING THIS TYPE OF WOflK W/LL BE COh1PLETED Wh'F.THER SPEGFIED HEAEIN OR <br />N07, 7HE GRANTING OF A PEfiM/7OOES NOT PRESL'ME TO GIVE AU7HORITI' TO VIOLATE OR CANCEL THE PAOVISfONS OF ANY OTHEA <br />Si.77E OR LOCAL L7W REGULATING CUNSTFUCTION OR THE PERFOAh1ANCE CF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOA LVHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTAACTORS LAW 18.27 RCW AND 29ti.200 LYAC. <br />� � <br />i <br />/ <br />�� ' �' /1,!�' ` <br />Signature �'�/ <br />ELECAP�REV&:OOq <br />,' ' ��--'� ; �� i FEE � <br />,' - <br />Da�e <br />