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� ELECT �ICAL PERMIT AP��'LICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 32Q0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> , <br /> '��i i ��7�GLLF4:' ,.(�-c.'�F,- <br /> PROJECT ADDRESS <br /> f�� wl ,��af�r Tr �4Gv�� �'� jivl-(- � <br /> Owne� Mail Atltlress Ciry State/Zip Phone <br /> T arl � Mail Address Ciry State2ip phone <br /> S'r�a��u�•��7 El���H�,. �j'�rs .S,u,rGi A-���� E✓�ti�e� i,�' !� - 9£CJ-E�� '1-5�- /K� 7- <br /> Eiecirical CoNracto� Mail Address City State2ip Phone <br /> <,�Q N i _T�99`[G'�(l � � , / C�C� ,c o <br /> State License Number Cc�ract rice of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wark to Be Done: �V�p��'. � �(,,.' (n[�7-n/00 'c� �-�0 7`�7�6/�� Q �` !`F S/q���c. CQ � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WfTH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND AL�HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGu IS REQUIRED TO BE IN FACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES OfJ WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3105(c)2. <br /> , ENVIRONMENTAL AND OTHER CON7ROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIDLE 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 CEFTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF Li WS AND ORD/NANCES GOVEFNING 7HIS TYPE OF WOFK WILL BE COMPLETED WHETHEq SPEGFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATINC'i CONSTqUCT10N OR THE PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER O� 7HI5 PROPER7Y TO PERFOFM THE WOflK FOR WHICH APFLlCATION /S MADE AND 1 COMPLY W/TH THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> .� <br /> � �,�� <br /> , <br /> �=U � � � �iS <br /> i��t'i�_fl �'L� ' � �.'� �.�/�� ''T FEE <br /> Signatura Date �_ � <br /> ELECAP�REV fi"10011 <br />