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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />172U Nard1e5olt P c aS <br />PROJECT ADDRESS <br />3t,Ilfl <br />y� Par�c Aw ,a+�; LO 4�y a;.k��y <br />,the ll.4u, 9$lbl <br />Owner Mail Address <br />city Stale/Zip <br />Phone <br />}!LtH Pt,�fi.�l •r?z0Huae5N.PL,(G <br />fA/efcl <br />wu, 95103 <br />Tenant Mail Address <br />City State/Zip <br />Phone <br />Tr; .Nor l„t. j)0. & z$r <br />k/c:JiMaJ <br />wu. fTb13-60d8 <br />zs)ss'7- 20 <br />T9I Incal Contractor Mail Address A I, Xr k <br />2QI -y t3 w S / 1 /20 (I <br />cityState/Zip Phone <br />y-- �� ��C� `==L, <br />State License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be 1 <br />ko-e. ,; 4y�7SC c. 3,e WeA.1 <br />(' <br />P f f- 1.. y � f /0 u(I" A� <br />zC'As. :Y <br />DDon�e: <br />✓ GAS $LIG (! „CA/,AS .� (nPllG <br />i6e Z 7 <br />Fx.3 4y 2r IF A/tCftice, �QYrit <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 296-16-110. 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 />READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />OCAL LAW REGULATING CONSTRUG LION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED SY THE OWNER <br />PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE ST-TE CONTRACTORS LAW 16 <br />AND 296,200 WAC. <br />�y r AA 1 ��/Zo/O FEE <br />Signature ate <br />ELECAP(REV 8.2001) ,,I �� _ N-3 <br />501 <br />