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� <br />ELE�T� �ICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />(P <br />��Z <br />5-� S. �3 �d <br />PROJECT ADDRESS \ ' Q <br />�er=r�,� i�,W. Lnc I�OI �(�5�: Lv�re.� W% I�Z-03 <br />Owner Afail AtlOress Ciry Slate/Zip Phone <br />S��.� <br />Tenant A1ail Adtlress City State2ip Phone <br />SE -7 <br />Electncal Conlractor Mail Atltlress Ciry State2ip Phone <br />5532 <br />State License Number Contract Pnc of Work <br />r0/WM. �G11/c� <br />Proposed Use of Building <br />Description ol Work to 8e Done: <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EUUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTO�J. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPFOVED PLANS BEFORE CITY OF EV�RETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALl OTHER <br />EDUCATIONAL FACILITIES AND ALI. HEALTH CARE "ACILITIES PLANS WILL BE REVIEWED 8Y THIS OFFICE. <br />NOTE: WIRING IN NON-DNlEI_LINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN AGCESSI9LE SPACES OR ALONG ACCESSIB�E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br />Eid`JIRONb1ENTAL AND"OTHER CONTROL RECEPTACLES AND OTHER OPERAOLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SNALL 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 HEFEBY CEF7IFY THAT 1 HAVE READ AND EX.1.'.11NED THIS APPLICAT!ON AND KNOW THE SAME TO HE TRUE AND CORRECL ALL <br />PFOVIS�ONS OF LA WS ANG OFDINANCES GOVERNING 7H15 TYPE OF WORK WILL BE COMPLc7ED WHETHER SPECIFIEU HEREIN OR <br />NOT. 7HE GFANTING OF A PE�'iMli DOES NOT PnESUME TO GIVE AUTF!OFIIY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OA LOCAL U7W REGUG7TING CONSTFUC710N OR THE PERFOAMANCE OF CONSTRUCTION. THAT I AM AUTHOAIZED BY THt <br />OWNEF OF THIS fFOPERTY TO PERFOFM1I THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRAC70RS U7W 18.27 FCW AND 236..00 WAC. <br />Signalure <br />E�Ecaa�rEv 82mi� <br />7 /� 03 <br />Date <br />�d3o7-C�53 <br />FEE j ��, � n <br />� v <br />