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EL <br />�ICAL PERMIT AF _'LICATION <br />CITY OF EVE�iETT PERMIT SERVICES <br />3200 CEDAR STRtET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />���Z � l�� � LU �'v <br />PROJECT ADDRESS <br />/7 / G C� � i 7�r . �`C�.� � /�/.� ._. / <br />Owner <br />Tenant <br />Mail Address <br />M1ia�l Addfe55 <br />Ciry <br />City <br />State2(p <br />SlatelLip <br />Phone <br />Phone <br />1�Sd .2vi/ 7? s%` S£ �..c f1 t.�.� `iB.tc3 33�5 �j% > <br />Eleclncal Contractor Mail Address Ciry State/Zip Phone <br />Dsd �� � oiZ B� <br />State License Number <br />�Q�c-S <br />Proposed Use of Building <br />DescnptionofWorktoBeDone: Sc�✓u�c� C�4�.y� <br />r��a <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE Or WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BtFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARF. FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REpUIRED 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 />I HERE9Y CERTlFV TNAT I HAVE READ ANO E�Ah11NE0 THIS APPLICATIQN AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br />PROV/SIC7NS OF LAWS AND OROINANCES GOVEFNING THIS TYPE OF W'CRK WILL 6E COMPLETED WHETHER SPEClFIED HEREIN OR <br />,VOT, THe GRANT/NG OF A PE,4MIT DCES NOi PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL W W AEGULAT/NG CONSTRUCT/ON OR THE PERFORMANCE OF CONSTAUCTION. 7HAT I AM AUTHORIZED BY THc <br />OWNER OF THIS PROPERTY TO PEAFORM TNE WORK F0.4 WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�� <br />Signature <br />ELECAP(REV 82001) <br />�3�- 2-7-�L <br />Date <br />E o�2oa- oa.cr <br />FEE <br />