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ELEr�TRICAL PERMIT Ar PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> GSZ ( i�r�-n�v�eU� ,1`� 1 ..� <br /> PROJECT ADDRESS <br /> �� mA �►�-. z�Z� �A,.,� ,� ��� � � ,e,��� ,�,- ���3 �ZS-Z�o.�s�3 <br /> Owner Mail Address Ciry State/Zip Phone <br /> �'t�Y,e a> ����n,c <br /> Tenanl Mail Address Ciry State2ip Phone <br /> �� 11�r (�-IJ/1 Yl'� <br /> Electrical Conlractor Mail Address City Sta�e2ip Phone <br /> Stale License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Feview) <br /> Descriplion ol Work to Be Done: ��(�1! ( P_ f�U SL 1�11Y1P.� i n �161�S� <br /> NOTE: PIANS 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 RE�UIRED 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 /> ! HEfaE9Y CERTIFY THAT I HAVE READ AND EYAll11NED TH/S APPLICAT/ON AND KNOW THE SAM1IE TO BE TFUE AND CORFECT. ALL <br /> PFOVISlONS OF L7 WS ANO ORDINANCES GOVEFNlNG THIS TVPE OF WOFK WILL BE COMPLETED WHETHEA SPEGF/ED HEREIN OR <br /> NOT, THE GRANTING OF A PEFh11T DOES NOT PRESUME T O GIVE AU7HORITY TO VIOL7 i E OR CANCEL i HE PROVISlONS OF ANY OTHER <br /> STATE OR LOCAL L7W FEGUUITING CONSTFUCTiON OF THE PEFFOFh1ANCE OF CONSTFUCTION. THAT 1 AM AUTNOFfZED BY THE <br /> OWNER OF THfS PFOPEFTY TO PEnFOFM THE IVOFK FCF bYHICH APPLICA7/ON IS ,SfADE AND I COMPLY WITH THE SrA7E <br /> CONTRAC70FS 41 W iH27 FCW AND 296.200 4YAC. <br /> _�. � �/ �%'4� - I l I ,���_ FEE <br /> Signature Dete <br /> ELECAP�REVfl2001) Er�21 I-I 45 <br />