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� <br />ELEC�ZI�4L PERMIT AP. L� �ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />2 �3o wa�� �" E�crr� <br />PROJECT ADDRESS <br />l✓D �'ab f e �15�(YwLf1 w1 �/�_,s 7oGf <br />Owner <br />Mail Adtlress <br />Tenant � Mail Adtlress <br />Yl Au1L0 �l�c�l✓t� �n� Po <br />Electrical Coniractor Mail Address <br />�'YIAr-t-�D E�� 7/ r3 � <br />State License Num6er <br />/�/5 � 2 <br />Proposed Use ol Building <br />ciry <br />City <br />)iJ0 �dY7%lS <br />Ciry <br />State2ip <br />State2ip <br />Phone <br />Phone <br />State2ip Phona <br />�.�QU� <br />Contract Price of Work <br />P PJ// r� <br />Contact Person (Plan Review) <br />r "� <br />Descriplion al Work to Be Done: /�/ ✓'/✓}/�. �/.� ,5!"��f N?[ (f QOS/crCHC� <br />� <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 AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES C1N WALLS <br />W ITHIN 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 />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFE9}' CEF7IFY THAi 1 HAVE READ AND E.\'AM1fINED THIS APPUCATICN AND HNOW THE S.1ME TO 6E TRUE AND COFFECT ALL <br />P.SOVISIONS OF ULVS AND OFDINANCES GOVEFNING TNIS 7YPE OF Yl'OFK WILL BE COMPLEifD WHtTHEA SPECIFIED HEFEIN OF <br />NOT. THE GFANTlNG OF A PEAAtIT DOES NOT PFESUIdE TO GIVE AU7HOFITY TO VIOLiTE Ofl CAM1'CEL 'fHE PFOVISIONS OF ANY OTHEF <br />S7A7E OF LOCAL LAW nEGUL4TING CCNSTFL'CTION OF THE PEnFOFh1ANCE OF CONSTpUCTION. TNAT I AM AU'fHOFIZED BY THE <br />OWNE.S OF THIS PFOPEFTY TO PEFFOFhI THE WOFK FOF bYHICH APPLICATION IS MAOE AND 1 COMPIY WITH THE SiA7E <br />CONTRACTCFS W W 76.D FCW AND 296<"00 WAC. <br />SignaWre <br />� � FEE <br />Date <br />ELECAP�PEV 82Ck71) �. <br />� D� U3-� D <br />