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ELECT_ .ICAL PERMIT /d►Pi �ICATIGN <br /> CITY OF EVERETT PERMIT SER�/ICES <br /> 3200 CEDAR STREET, EVEF7ETT, WA 9&201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> -� .315 I�1'JlMe.r ^Vc. <br /> PROJECT ADDRESS <br /> �a�'� � Z .�'er.- �� � 3315 I�rov..� r �,c CVc �-;.� I,JA 95LD1 4Z5- 3�3-9(�34 <br /> Owner Mail Address Ciry StateiZip Phone <br /> Tenanl � Mail Address Ciry State2ip Phone <br /> Elecirical Contractor Mail Address ciry State2ip pnone <br /> 37S .� U <br /> State License Number Contract Price of Work <br /> G33.rGL�C <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ;� � � r'' � � <br /> Description of Work to Be Done: ILcp ac_e uJ ��--i r�� 7 � � x-��u/'�S t'c.ht p Je o � � �- �i,�� <br /> rjQfi=�""-�G �VO � OICh�oli �ll:Jv� <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 BGFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED Bl'THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS ;S REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <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(c)2. <br /> ENVIRONMENTAL AND O7'HER CONTROL FECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEAEBY CER7IFY THAr! HAVc READ ANG c!(AhiWED THIS APPL/CAtlON AND KNOW THE SAh1E i0 BE TRUE AND CORRECT ALL <br /> PROVISIONS OF UWS AN� ORDINANCES GOVEFNING THIS TYPE OF WOFK LVILL BE CCMPLETED WHETHER SPECiFIED HEFEIN On^ <br /> NOT, 'fHE GRANTING OF A PERM17 DOES NOT PRESUME TO GNE AUTMORITY TO VICL7Tc OR CANCEL THE PROVISIONS OF ANY OTHfA <br /> STA7E OR LOCAL L7W FEGUL7TlNG CONSTAUCTlON OF 7HE PEnFORhIANCE CF CONSTRUCTION. THAT I A6f AU7hOFIZED 5Y Th'E <br /> OWNER OF THIS PROPEFTI' 7'O PEFFORM THE LVOFK FOR WH1CH APPLlCATlON IS M11ADE AND 1 COMPLY W1TH THE S7ATE <br /> CONTFACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> �� . , l <br /> /_. �� _ � ��9�.� U FEE <br /> Signature Date <br /> ELECAP�REV 8:7COt) ���g�7y <br />