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ELEC'�ICAL PERMIT Af-�'`LICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I��L ^�Ul��-lN / 1 V� CG 10�-00� <br /> PR J � ADDRESS . <br /> ��u6 M�_ ��sStaN� I ��� �uc�c��v�-�v����l�� <br /> Owner Mail Addresc Ciry State2ip P�one <br /> Tenn_an ' Mail Address ry p Phone <br /> L��V�� �lec,�� -3iox iq�o sr �v�� �l.�Ylll �1►f 1(1V./l1/te21��� l � l W�"�� <br /> Electrical Con actor ` Mail Adtlress ity AState2i <br /> p n .l'I��C _ � V� �- 1 ,ll/V� Phone <br /> II�l � � /J�I�"1 <br /> � lul <br /> State License Number Contract P ice of Work <br /> � 1 � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descript�of Wark to B¢ Done: V I� 1 l/f:,� f� � l � � I <br /> n <br /> 1'f f GC� q Y � ` � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHIIJGTON. 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 REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON 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 E�UIPMENT WITNIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE �iEACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CERT/FY tNAT I HAVE FF.AD AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS OF L;i W5 AND ORDINANCES GOVEFNING 7HfS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NO i, THE GAANTI":G Of A PEFMIT OOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PAOVISIONS OF ANY OTHER <br /> STATE Ofi LOi7AL LAW REGUI�7TING CONSTRUCTION OR THE PEFFORMANCE OF CONStRUCTION. THAT I AM AUTHORIZED BY ThlF <br /> OWNER OF rHIS PAOPERiY TO FEF7FORM THE WOFK FOR WHICH APPLICATlON IS MADE AND I COMPLY WITH THE STATf <br /> LONTl7ACTOFS L4W 78.27 RCW AND 296.200 WAC. <br /> f1Nc�l c{ , 111��i I1 �- I 2-�2 FEE�o0 <br /> Signature De1e <br /> ELECAP(REV 82001) �OZDZ'0.�� <br />