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ELEC? 1ICAL PERMIT AP-`LICATION <br />t7r CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_ e:vw Evo,nH - a�Cg 4u �3 Ever-cff WA —Rtws. 3oP_F6- a 3oaF(, <br />PROJEC DDRESS <br />_1�21v�q_ VAA <br />140-2_3 lleK* <br />tiP- (L(ZS)2(o(0 <br />2qu <br />Owner <br />Mail Address <br />City <br />Stale/Zlp <br />Phone <br />5AIAC <br />Tenant <br />Mail Address <br />city <br />State/Zip <br />Phone <br />t e_ST NF up-(" ".i i leGFuAv, <br />I .IA (L(zs)QFLf3 <br />633a <br />Electrical Contractor <br />t-(015jI*k <br />Mail Address <br />gg3K(r <br />City <br />State/Zip <br />Phone <br />"M(4 Sy <br />State License Number <br />Contract Pnce of Work <br />,INn �OIMO�� <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />14NC 0.1A6 o <br />�p <br />P4 L DIG,,�ev <br />pye-IVA.+ uec� aroitec4U <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 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIVG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESU,.rE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />ji-� 6 �� � / f 3a/b.2— FEE <br />Signature Date <br />ELECAP(REV a200t) x, ozot_I ( r <br />