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ELECT�ICAL PERMIT AP c�'_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> / ZO 3 � MA�/N� vl.�l J�i2 <br /> PROJECT ADDRESS <br /> JG,�F ,�oON <br /> Owner Mail Adtlress City State2lp Phone <br /> Tenant � Mail Address City State2ip Phone <br /> _JI�1 � �/i-»1/ �G,Cc?ni � co i� � <br /> Electncal Conlra or Mad Address City State2fp Phone <br /> _�[CG/,u�C c�0 3 n1J <br /> State License Number Contract Price of Work <br /> S�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �LJI K iC tiC� S'�� /- ,2 Q p� 0/j �'�ti�7(,� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILi i'IES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF INASHINGTON. APPLICANTS WIT�i 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: WIR!NG 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 E�UIPMENT WITHIN <br /> ACCESSIBLE SPACcS OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AVD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ! HEREBY CERTIFY T/IAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br /> PROVISIONS OF U WS AND ORDINAlJCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERh11T OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL WW AEGUL471NG CONSTAUCTION OA THE PEFFORMANCE OF CONSTRUCTION. THqT 1 AM AUTHORIZED BY THE <br /> JWNER OF THIS PROPERTV TO PERFOFM THE LYORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITN THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br /> ,� � ' vl(� 8"I4 - U 2.-. FEE L o0 <br /> Signature V `�`� <br /> Date <br /> ELECAP�REV 82001) ��ZGB'-07/ <br />