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ELECTgICAL PERMIT AF��LIC,ATION <br /> �� CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 33� y ��/o /.,� <br /> PROJECT ADDRESS <br /> /���.d �3i�cc 3�1y �`'L/ /.� ��_.o,� /`� G�-� ?'J'.�-o� <br /> Owner Mail Address Ciry StatelLip Phone <br /> Tena�nl � Mail Address City StatelZip Phona <br /> �(:'T(.S.f10i�r/ ��P /S;�c .L.-.i / �� o���I ��//rg %dh C�: IO�.a3 '�/.�J ��ll <br /> EleciriCal ContraCtor Mail Address Ciry Slate,P_ip Phone <br /> /�/t� /f'N�O ?7.�� <br /> State License Number Contract Price ot Work <br /> � ��� � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion ol Work to Be Done: L� /��'c� C ii 2^C/1 fJ� � i`P m��"�C/rY� <br /> ,(,�G ���Y�U'1� <br /> �OTE: PLANS FOR ELECTRICAL WOAK AT EDUCATIONAL, FACIIITIES 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 ISSUE�. WAC 296-46•140. ALL OTH�R <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 WALLS <br /> �VITHIN 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 /> [NVIRONMENTAL AND OTHER CONTROL RECEPTACLES f�ND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FEACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEdY CEFTIFY THAT I HAVE FEAD AND EXAM111NfD 7HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECL ALL <br /> PFOVISIONS OF L7 WS AND OFDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHEF SPEGFIED HEREW OA <br /> �'OT, THE GRANTING OF A PEFh11700ES NOT PRESUME 70 GNE AUTHOFITY TO VICLATf OF CANC£-L rHE PFOVISIONS OF.INY OTHEA <br /> STATE OR LOCAL LAW FEGULITlNG CONSTFUCTICN OF 7HE PERFOR�LIANCE OF CCNSTRU�710K. rHAT I Ah1 AUTNORIZED 8Y TNE <br /> OWNER OF THIS PFOPEF7Y TO PERFOFM THE WCFK FOR WHICH APPLICATION IS AIACE AND 1 COM1IPLY WITH 7HE STATE <br /> CCNTRACTOFS LAbY id.27 FCW AND 296200 WAC. <br /> i � <br /> � � FEE <br /> c .?�ti� ��t-���•` <br /> . <br /> Signature �ate <br /> ELECAP(REV 812�Ot1 — <br /> � �)�� - ��n5/ <br />