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ELEC ;RICAL PERMIT A. PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881 U - FAX 425-257-8857 <br /> 1 `?I S" h� � 1� ( : <br /> PROJECT ADDRESS <br /> ��J�• I/ : � l��-�`� I7l �' YYla,h /t �u.C� (� %�"�� ( �/.1i '� Y7 cr U 3 <br /> Owner Maii Address Ciry Slate2ip Phone <br /> Tenant � Mail Address <br /> ��ty State2ip Phone <br /> � <br /> � v�/-1 N n L(� �r ,', l u,.. {�! /-I, , - ,c� •I-�- �r.Fzc i .;C"S�i - 3. I _ � <br /> ElecinCal Contractor Mail Address City StatelLip Phona <br /> �: v��r �s ;�r � , P <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description oI Work to Be Done: �����k (p ('�,,', ��, �� .,.n LU� •� A ���� C` �L , � <br /> ,�I +r- .� �•� 1, l r `f-n �' l "i"' I� � o � r 1 S t� �1r r C�f vt r� � Gi � � <br /> � J � � / � <br /> Nt�Lt � -' `fr, �P�w� a �c1 l.( �� .`V�G /� ., � G�- ht ���%✓ �� r �� � �. <br /> U <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 EVERETf 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 �VALLS <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 /> ACCES�S BLE SPACES OR ALONG A�CESS�IBLE ROUTES OF TRAVEL SHA L BEPMOUN E W TIH N THE a ACIH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREHY CERTIFY THAT 1 HAVE READ AND EXAMINED TH/S APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PAOVISIONS OF 47 W5 AND ORDIN.INCES GOVERNlNG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT, THE GRANTING OF A PE.9MIT GOES NOT PRESUME TO GIVE AUTHORITY TO VIOL:ITE OR CANCEL THE PROVISlONS OF AN 1'OTNEF <br /> STATE OR LOCAL WW FEGULATlNG CONSTFUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORlZED 8Y THE <br /> OWNER OF THIS PFOPERTY TO PERFOFM THE WOFK FOR WHICH APPLICATION IS MAGE AND I COIdPLY WITH THE STATE <br /> CONTAACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> iJ2:� ,.�j S-•%,9, �°�.r: /a� � `-���� '? FEE j J-OC-' <br /> � � Signature /,- � <br /> V� � � <br /> 0816 <br /> ELECAP(REVB/2001) E�,�0�_I ,. 5 <br /> lY <br />