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ELECTRICAL PERMIT �__�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, �VERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �l �Il 7 !/�S�'��' <br /> PROJECT A�DRESS <br /> �� �� ,�C I,v �"S� � �- �����c�) Fv F� C r� Gv�� � �slY-�s y3 <br /> Owner Mail Address Ciry State2ip Phone <br /> � <br /> Tenenl � Mail Address City State/Zip Phone <br /> a� � ��irr�-c��f a f[.�. � ��� la o fr-�v� � f,��'rr c���98�oi z� � 33s <br /> Electrical Contractor Meil Atldress City State2ip Phore <br /> /1lSG'�eI� 9�"�G'i � �_5-O �= <br /> State License Number Contract Price ot Work <br /> S- F- l�. � l� ( Vl.'-L F�yi,�,., <br /> Proposed Usc ol Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��`f'�N(> C .)P✓�V/�� T� /v OGl� G �`1. -7`/ � �' • <br /> /l.�� /�'!�'1�"! I /V ��[C'' 6 S�. �'C,P o.%> /> lJ« (9 L I� �/ ,�5�(� <br /> � �� o - ��,,.>,' s,��.,'r -�3 Us� , / �'�,�v,`c � T�tie� o,c.�,� <br /> d �N�,� I,v;��,�G �s i� �r /-1 ni�t� Uc�i,��,�'� <br /> , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANT:i 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 FAGILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HF.NDICAPPED 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 WCHES ABOVE THE FLOOR. WAC 51-2C SEC. 3706(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER Of'ERAB�E E�UIPMENT 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 3fi INCHES ABOVE THE FLOOR. <br /> I HEFE6Y CER7IFY THAT/HAVE READ AND EXAMINED TH;S APPUCATION AND KNOW THE SAME TO BE TFUE AND CORRECL ALL <br /> PAOVISlONS OF L1 WS AND OFDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEdFIED NEFEIN OR <br /> NOT, TNE GRAN7iNG OF A PEFMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOU7TE OH CANCEL THE PROVI570NS OF ANY OTHER <br /> STATE OR LOCAL IALV REGULATING CONSTFUCTION OF 7HE PEFFOFh1ANCE OF CONSTFUCTION. 7HAT 1 AM AUTHORIZED BY TF1E <br /> OWNEA OF TNIS PFOPEFTY TO PERFORM THE WOFX FOA WHICH APPLICATIOf� IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 78.27 RCW AND 296.200 WAC. <br /> � <br /> � �� [/% �/��� / � '�(�—�2 FEE <br /> Signatura Date <br /> ELECAP�REV fi2001) t', OZI Z�13Z <br />