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w <br />ELECT RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�) <br />%z'(' dctrJ/F'SDiI Ror.c'•' <br />PROJECT A�DDRRIESS <br />tc.lG9 <br />l <br />Harc�cxtt li:rF. H>>nc:clt� LI) ylYO��tNav <br />��1 <br />vJn:ll� . <br />�L't, ltJ��i� �2e6W7``/J;Y <br />Owner Mail Addre® <br />city <br />StatwzIp <br />Phone <br />N Pr,,,t;l,(' 772C ELrTzpnkl'aA <br />Evel"I <br />) <br />_6h <br />Tenant Mail Address <br />�^��.i,(L2? <br />(City <br />11 l�YStatdZl7p /� Sr <br />���J 'c�(.�c <br />U7�Phonec <br />L1-t 'nACr lt,(. <br />.��Ftifrlprl <br />`L'�I. /rJ rl/cJ/.AJ�"�,I <br />Electrical Contractor Mail Address <br />,�( /r City <br />Statealp <br />Phone <br />IRINAI+ i�2 Kn Si' <br />t,11 <br />�7-/ fcic'.r," <br />State License Number I <br />Contract Price of Work <br />CL�IdY�e-tv.dl C1i •(a 1 �l.n� �L �t� <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: d),'ytL 8/1; 73 n. A'- L <br />it 1.11 17 <br />rim r(:u ) J nsln)I A'rlht V retejrle:, oil rcof 6, I[VA(,� <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 />NOTE: WIRING IN NON -DWELLINGS IS 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 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA TE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RC W AND 296.200 WAC. <br />FEE <br />Signattim ete <br />ELECAP(REV WWI) <br />�I bU2-ula <br />jv <br />