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� <br />ELEC�'RICAL PERMIT A'-���ICATION <br />CITY OF EVERETT PERMIT SERVILES <br />3200 CEDAR STREET, EV�=RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�2�_> f�o,�T �vE <br />PROJECT ADDRESS <br />Owner Mail Address Ciry <br />l__ �1.. n,l /1 / ,.,�riJ 1.11.��i <br />Tenant <br />Mail Address <br />c�ty <br />Electrical Contractor Meii nddress Ciry <br />State2ip <br />�" G%. 5 <br />Stare2ip <br />State2ip <br />� <br />Phone <br />as .� �� <br />Phone <br />Phore <br />%��TSfccn{� .Srr��cc3 5��/0/•av <br />State License Numb r Contract Price of Work <br />�� � // <br />� ,4rcYrca � J�"r✓�tr_S �UL /1 vq� � � <br />Proposed Use ot Building Contact Person (I�n Review) <br />Description of Work to Be Done: _,L /�,ST.�A-LL .(�1/�q /4r �L (��r�/7'Cc�fS ✓`/37Yy <br />Z <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED BY THE STATE OF WASHING70N. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETf PERMIT WILL 8E ISSJED. VJAC 296-46-140. ALi. OTHER <br />EDUCATIONAL Ff;CILITIES AND ALL HEALTH CARE FACIUTIES PLANS WILL BE AEVIEWEC� BY i HIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS AEQUIRED TC BE'N RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED AGCESSIBI�ITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLES ON VJALLS <br />WITHIN ACCESSIBLL• SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES A00VE 7HE FLOOR. WAC 51-20 SEC. 310"o(c)2. <br />ENVIRONMEN'iAL AND OTHER CON7ROL RE:CEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCE�iIBLE �P�.CES OR ALONG ACCESSIBLE f30UTES OF TRAVEL SHALL B� MOUNTED WITHIN THE REACH <br />RAN?ES OF VJAC st-,^_0 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOUR. <br />1 HEAEBV CER'7FY iNAT I HAVE flEAD AND E�'AAIINED TNIS APPLICAiION AND KNOW THE SAM17E TO BE- TFUE AND COFRE::: i. ALL <br />PROVISIONS OF 'v1WS A.ND ORDINANCES GC7EFNIPJG TNIS TYPE OF WOAK WILL BE COMPLETED WHETHEA SPEGF�ED HEn'EIN OR <br />NOT, THE GRANTING OF A PEFMIT DOES NOT Ph'ESUME TO GIVE AU7HCFITY TO VICL7Tc CF CANCEL 7HE PROVISIONS OF ANY OTHEq <br />STATE OF LOCAL LiW FEGUL4TING CONSiFUCTION OR THE PEFFOFh1ANCE OF CONSTFUCT�QN. TNAr 1 AM AUTh'OR2EJ 6� i7iE <br />QWNER OF THIS PROPERTY TO PERFOFhI THE WOFK FOR WHICH APPLICATICN IS id4DE AND 1 CCMPLY WITH TH��ATE <br />CONTRACTORS U lN IB.D FCW AND 296.200 N/AC. <br />�� C�� / � j <br />/ C�'i^—F�� - <br />Signature <br />ELECAP�REV BfZC01) <br />_ �,� -Q Z FEE � <br />Date � <br />EU,'ta�-C�5 � � <br />