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ELECTIC�CAL PERMIT APF' _ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, Wq gg201 <br />425-257-8810 - FAX 425-257-8857 <br />l ��- ���il��w �n F Pc ���, ,— <br />PROJECT ADDRESS <br />r <br />�F/�R�,) �� /�.�r F 72� 92 %� �'r c �' <br />Owner <br />Di l <br />Tenant <br />5�1/auR i <br />Etectrical Contractor <br />Mail Address <br />Mail Adtlress <br />Mail Address <br />_ �L-/-�A-t./E � /D Z <br />State License Number <br />S�Nc��� �,�,M��y <br />Proposed Use of Bwlding <br />Description a1 Work to Be Done: <br />City <br />City <br />Ciry <br />I_ST�n76 �.."hJ�G <br />� <br />�,c� 9 <br />State2ip Phone <br />State/Zip <br />IA/i4 i <br />State2ip <br />� �sn `'-= <br />Contract Pnce of Work <br />li.a.�-pEN 'Q;oo�� <br />Contact Person (Plan Re��ew) <br />�ZU(J <br />�� <br />Phona <br />.�60 - q,6c -2�09 <br />Phone <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 PERMI? L•.'ILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNIC/�TIONS SYSTEM RECEPTACLES ON WALLS <br />NJITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES JF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 75 INCHES ABOVE THE FLOOFi. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES 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& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEAE9Y CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEP.EIN OF <br />NOT, THE GRANTING OF A PERMI'f DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTNER <br />57ATE OR LOCAL L4W REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APpLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC'(ORS LAW 18.27 RCW AND 296.200 WAC. <br />�Tl�l�2�������,� <br />signature <br />ELECAP�REV fl2001) <br />i-az -oz <br />oate FEE ���T' <br />c'o�:oa- og`i <br />