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� <br />ELECT...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 />aSl2 Ll,��,ru�� _ <br />PROJECT ADDRESS �% <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Mail Address <br />/= j/L.4 N sS /K2.L. P <br />State License Number <br />Proposed Use of 8uilding <br />Ciry <br />City <br />Ci�y <br />StatelLip <br />Slate2ip <br />State2ip <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />Description o( Work to Be Done: �'{ �.Wl o d[ �A % � In rG{y_ -+ t r rJl.W �N S���l1 <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES 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 ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES NND 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 />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF SS INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC SE 20 SEC.�N 6(b)4 E& FI ANDR OTTL S3 THAN 36LINCHES ABOV�EUTHE �LOOR �N THE REACH <br />1 HEREHY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ANO !(NOW THE SAME TO BE TqUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPEpFlEO HEREIN OR <br />NOT, THE GRAN'ilNG OF A PEFMIT DOES NOT PFESUME 70 GIVE AUTHORITY TO V/OL7TE OR CANCEL lNE PqOVISIONS OF ANY OTHER <br />STAiE OR LCCAI LAW FEGULATING CON.STRUCTION OF THE PERFOFMANCE OF CONSTFUCTiON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTV TO PEAFOFM ThE WOFK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTOFS CAW 78.27 FCW AND 296.200 WAC. <br />Ii <br />ELECAP(FEV <br />Date <br />c o20�-09 � <br />FEE � S� <br />