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ELE� TRICAL PERMIT �`�'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 �Z'�6-02 <br /> 425-257-8810 - FAX 425-257-8857 �0 alZ--��v <br /> !�+ 3� E . /r!/I2�h/1� v� e�,/ 0� . <br /> PROJECT ADDRESS <br /> c �� �, i4�o � ��,�,1�� ���9w�.�. �i�e�,� % 9s�5� c425)3�r-�,o� <br /> , <br /> Owner Mail Address City State2ip Phone <br /> 5� � _ _ __ <br /> � - _ <br /> Tenant � Mail Adtlress City StatelZip Phone <br /> I�.�.`-„v,; L'���.�a.2r,-f z8Z 7 Ol�(' f/�,e�,oc�0� /-�.�:r�s, li-�. 4zs-377-zszu <br /> Electrical Contraclor Mail Atldress Ciry State2ip Phone <br /> i2� (-o� � g`t Z �N T' ��2�7O .r� <br /> Stalo License Number Contract Price of Work <br /> U��P�q�/,� �- F,e��,=� /'?9.�,��T �n, �w�l�T 4ZS- 754-7�Z�1 <br /> Proposed Use ot Building Contacl Person (Plan Revie�v) <br /> Description ol Work to Be Done: �a� � ��/V�Z e � L.��- Jk� ��)v*Q � <br /> �'or,�/{•f�e �r��22A-� • <br /> � <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 IS:3UED. WAC 296-4Ei-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CAHE FACILITIES PLANS WILL BE REVIFWED B'f THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINCIS IS REQUIRED TO BE IN RACEWAYS, MC ON AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTE!v1 RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTE� A MINIMUM <br /> OF 15 INCHES AE30VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTRC!. RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLF ROUTES OF TRAVEL SHALL BE N10UNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND i�OT LF:SS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HERE9Y CERTIFY THAT 1 HAVE FEAD AND E�AhfINEO iNIS APPLICATICN AND KNOW THE SAME TO BE TRUE Al.0 CORFECT. ALL <br /> PFOVISJONS OF 41 WS AND ORDINANCES GOVEFNING THIS lYPE OF WOFK WILL BE COMPLErED WHETHEF SPECIFIED HEFEIN OR <br /> NOT. THE GRANTING OF A PEFAfIT DOES NOT PFESUIdE TO GIVE AUTHORITY TO VIOL;ITE OR CANCEL THE PFOVISIONS OF ANY OTHSn <br /> STATE OR LCCAL L.ibV REGUL.7T/NG CCNSTRUC7ICN OF THE PEFFOF�LIANCE OF CONSTRUCTION. THAT I .IM AUTHCFlZED BY 7NE <br /> OWNE.4 OF THIS PFOPEn'7'Y TO PEFFORM1I THE WCFK FOR WHICH APFLICATlON IS MADE AND I CGMPLY WITH THE SiATE <br /> CONTRAC70FS L7W 1827 RCW AND 296.200 WAC. <br /> F� L�� :� - �,�Z.� <br /> C� � 1 �— �2 - (� - D�- FEE <br /> Signature � �ate <br /> ELECAP�FEV B.'2L�J1) <br />