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ELEC� �RICAL RFRMIT A� �LICATION-� <br /> �� CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 <br /> o�✓OG � �'g.2 �c-+�GC� L�S�G�ifw� <br /> PROJECT ADDRESS c(,}�— <br /> ��itt�l.�l•l� /S�'J-'7 .v,s� /P9'-��- �(/a�a7nr,vr�-�-� ��7✓ ��'?a•�.� <br /> Owne� Mail Addrass Ciry State2ip Phone <br /> ���� <br /> Tenant � Mail Address City State2ip Phone <br /> �/T'��! <br /> Eledrical Coniractor Mail Address City Slate2ip Phone <br /> State License Number Contract Pnce of Work <br /> Proposed Usa nf Building Contact Person (Plan Review) <br /> Description of Work ro Be Done: _�UC� ,�¢ML� �/(�� �j�.3� �- �-U�C i/4T�./D� <br /> _L(� 1/2-1 /J �T <br /> ��� <br /> NOTE: PLAN'S FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JGBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. N/AC 296-46-140. ALL OTHER <br /> EDUC.�TIONAL FACILITIES AND ALL HEALTH CAFiE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL .4ND COMMUNICATIONS SYSTEtA RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHhLL BE MOUNTED A MINIMUM <br /> UF 15 INCHES ABOVE THE FLOOR. WAC 51-20 Si=C. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RE�EPTACLES AND OTHER OPEAqgLE EQUIPMENT WITHIN <br /> ACCESSIB�E SPACES OF ALONG ACCESSIBLE FIOUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND IVOT LESS THAN 36 INCHES ABO\ E THE FLOOR. <br /> 1 HEREBY CERT/FY THAT 1 HAVE READ AND EXAMINED TF�IS APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF L4WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETE() INHETHER SPEClFlED HEREIN OR <br /> NOT, THE GRANTING OF A PERMl7OOES NOT PRESUME 70 GIVE AU7HORl tY TO VIOL4 tE OR CANCI:L THE PROVISIONS OF ANY OTHER <br /> OWNER OF�TH�S PROPERTY TO PERFORMUTHTE WORK�FOP. WHI�CHMAPPLICATIONSS MADEn.INO~ACOMPL� WITHIZTNEBS7i1TE <br /> CONTRACTORS LAW 78.27 FCW AND 296.200 WAC. <br /> �cl �vC> -/�>� <br /> —L.,�1��LG�— G��OY FEE <br /> CSiynature Date <br /> � <br /> ELECAP�REV B/2L471� <br />