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ELEC? ,�ICAL PERMIT Aa �`LICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��y <br /> 425-257-8810 - FAX 425-257-8857 <br /> ���uZ� U19I�a`i l4�-�Z �C.7r,LLtf �b4 �l$lo� yZS- <br /> PROJECT ADDRESS Z,g-� <br /> 5 r'an( t) ��9 L�D��v�.e. L��ol�l 2(ol 9 CR ,1;�5 !�(R. ��c.Ll� WF� ���/ 4 8 z� <br /> Owner Mail Address Ciry StetelZip phone <br /> (/�)c�q.�.!� <br /> Tenant - Mail Atldress City State/Zip Phone <br /> A�W/C(Q.f/ <br /> Electrical CoNractor Mail Address City StatelZip Phane <br /> ��6oa� <br /> Slate License Number Contract Price of Work <br /> �s•..G,cc-t, <br /> �roposed Use of Building Contact Person (Plan Review) <br /> Description ol Work to Bc Done: r(L�•� �'/5�:h �y ,f„L�•,�— �_��Q <br /> �Z7 LC�cL'l, ulrSD S�JS�x1!/ /-l.1„� /ZS�A✓lcl� �-v�C.-Q_. <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 RECEPTACLCS 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 E�UIPMENT 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 HERE9Y CEATIFY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF WWS AND OFDINANCES GOVERNING THIS TYPE OF WORK WI(: BE COMPLETED WHETHER SPECIFIEO HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br /> S7A7E OR LOCAL LAW FEGUL7TING CONSTRUCT;ON OR THE PERFORMANCE OF CONSTRUCTfOK THAT I AM AUTHORIZED BY THE <br /> OWNEA OF THIS PFOPERTV TO PERFORfA THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY Wlhl THE STATE <br /> CONTRACTORS LiW ]827 RCW AND 296.200 WAC. <br /> � / <br /> w �'�7�1. ������ FEE <br /> Signature Dete <br /> ELECAP(REV82001) �rjZ(/3 "(/G <br />