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�, ELECT�ICAL P�RMI� A��"LICATION <br /> � CITY OF EVERETT PERMIT SERVICEa <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-25/-8857 <br /> ' / i3O( LJ�� �./`�� l v�r _ t�25 <br /> PROJECTADDRE$S . ��Z/_ T1Q� '��V� <br /> � ICJ l� 35S-U(� <br /> , ,, f ra�M���v�Q d�'2��v�. ���F2 �,T r,�a . 98zo3 <br /> Owner Mail Adtlress Ciry State2ip Phone <br /> Tenant - Mail Address City State2ip Phone <br /> CPL�"I1 �� <br /> E�ectrical Coniractor Mail Address City State2ip Phcne <br /> State License Numbor Contract Price of Work <br /> FLP�([l�l�i�t-icc—�. Vl?5111� _DCcl�1'�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion ot Wark to Be Done: ��(�j�ry� I�(�i(,L� C�1 �("� �(/��0� � ��L(�//Z,� �lJ! ' <br /> E�PL� (rlUl��C'� - <br /> NOTE: PLANS FOR ELECTRICAL WGRK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNGS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICAPJTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT �VILL BE ISSUED. WAC ^96-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIE:; PLANS WILL BE REVIEW�D BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIFED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND i3OMWIUNICATIONS SYSTEM RECEPT4CLES ON WALLS <br /> WITHIN ACCESSISLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(cJ2. <br /> ENVIr�ONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEM OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES UF TRAVEL SHALL 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 /> 1 HEAEBY CERTIFY 7HAT I HAVE AEAO AND EXAMINED THIS APPLI(:ATION AND KNOW THE SAME TO BE TRUE'AND COFRECT. ALL <br /> PROVISIONS OF LAINS ANO ORDINANCES GOVERNING THIS TYPE OF lh'ORK WlLL BE COMPLETED WHETHEq SPECIFIED HER:I,J OR <br /> NOT, 'fHE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE AUtHORITY TO VIOLATE OR CANf..EL THE PROV/SlONS OF ANY OTHEIa <br /> SrATE OR LOCAL L7W REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTfON THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF iH15 PROPER7Y TO PEFFOFM THE WORK FOR WHICH APPLICATION IS MADE F,ND 1 COIviPLY WITH THE STATE <br /> CONTRACTOFS L4W 18.27 R^.W AND 296.200 WAC. <br /> �� /� � _ <br /> ,�j��,�'GC4L liil( .{ � / ��� FEE <br /> SignaWre ,. � Date <br /> ELECAP(REVBr2�1) �GZG2-(SS � <br />