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ELEC��. ,�ICAL PERMIT AF. �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�¢2 l�O�ds � S7' <br />PROJECT ADDRESS <br />Owner <br />,c-- 1ic� c �� ;,' ,�-,iv �s� <br />Mail Address <br />,�'� f /6',r'� �." <br />City <br />5-��-oz <br />� L'� : li S,.C(�� <br />3��% lo��r �-7�cr't�iY���� <br />State2ip <br />Phone <br />Tenant � Mail Address City State2ip � zS' �.f+�r� � �; �,�, <br />l.�iEi"��Y7�r��,�c ��,�,J i��d�� ii�-s- �r�«���� ��� Y�voi � <br />Electrical Cor�tractor Mail f�.tldress City State2ip phone <br />�/Zr _i / G' r'E CI 1 Z�l � <br />State License Number <br />/� ���/ l�C—,v'T�%% � '—�J � I � <br />Proposed Use of Euilding <br />Description of Work to 8e Done: <br />/` C GG��.2 F l� (� c/ S�� <br />Contract Price ot Work <br />Contact Person (Plan Review) <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 EVERETT PERMIT WILL BE ISSUED. WAC 296-4"0-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM HECEP'�ACLES ON WALLS <br />WITHIN ACCESSIDLE SPACES OR ALONG ACCESSIBLE ROUTES QF TRAVEL SHA�L 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 />RAhGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREH'/ CERTIFY THAT I HAVE READ AND EXAM1IINED TH/S APP�ICATION AND KNOW THE SAME TO BE TAUE AND CORRECL ALL <br />PROVISIONS OF L7 WS AND ORDINANCES GOVERNING TNIS TYPE OF WOFK WILL 8E COMPLETED WHE7HER SPECIFIED HEREIN OR <br />NOT, THE GFANTING OF A PEFb11T DOES NOT PRESUME TO GIVE AUTHORITy TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL Lri LV REGULATING GONS7FUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPEFTY TO PERFORM THE WOFK FOR WHICH APP! ICATION IS IdADE ANO I COMPLV WITH THE STATE <br />CONTRAC70FS UW 7827 FCW AND 296.200 WAC. <br />Signature <br />v �S ` c � <br />Date <br />FEE �r 3 s � <br />ELECAP�REV 812001) <br />� O�OS-U(��3 <br />