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ELEC RICAL PERMIT APYLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 38201 <br /> 425-257-8810 - FAX 4�5-257-8857 <br /> o� I � ( �9/i�iN/J AvT <br /> PROJECT AD RESS <br /> ('l.�„�„ i�v�.� a �oi �N.� r.� �i�� ca�9 9�aor �1zs 7P3-t79Sb' <br /> Oyy�er Meil Address CiN State(Zip Phone <br /> Tenant ' Mai!Address City Stete2ip Phone <br /> , ,�y��a,u � syt��c� 3�0� EvE2�5�iAUG' L=✓ � i r.r1� I�o r y2f-2SRr���f <br /> � <br /> IecMco C�ntractor Mail Adtlress Ciry Stete2ip Pbone <br /> �yc.�nJssitia�P 3a-�a.�� <br /> State License Number Contract Price ot Work <br /> .SlIVIiGG �!�-i t�L.(IrU.iµf _. <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: ��J/L� [J�/,JC(jLih�JL'y /�n/'�� ��Ir�Le1'T)02� <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 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTF: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM R�CEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE �OUTES OF TRAVEL SHALL BE MOUNTED A MINIMUb1 <br /> OF 15 INCHES ABOVE THE FLOOR. 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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISfONS OF LAWS AND ORDINANCES GOVERNING T.41S TVPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, T{iE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W FEGUL4TING CONSTRUCTION OR �E PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOAIZED BY THE <br /> OWNER UF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW iB.27 ACW AND 296200 WAC. <br /> �� . � / .. <br /> �, � __-- .�r���� FEE 5�.� �� <br /> . -�— <br /> Signature Dete <br /> ELECAP�REV8/2001) �i�Z03'll � <br />