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ELEQ 'RICAL P�RMIT AI ?LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _3 I� � �2„ „� �„w <br /> PROJECT ADDRESS <br /> 1?�✓nsm,J -�A.�,�a„ 1/,�' /3SZb 3a�A� N rJ �I9��rv� u7A �,1'7/ �/tf 7tr1 �� <br /> wnef Meil Address Ciry Stete2ip php�e <br /> E� fa� QA7T�it� <br /> w,��,�1 t?�, �a,r 7 �/rrt,� �.�A ��a06 Yt,'ss9-� �� <br /> Tenant � Mail Adtlress Ciry Stnte/Zip plwne <br /> N(ANow .Sa,.� B Sew,�u 3Goi Eve;ar Ava f-vr,.v�s c�c► 4Xao i yzf-zSS-,�c i <br /> Electrical Contractor Maii Address Ciry g�i�p p�y <br /> r-Yulustiy�c P 3�,,c� <br /> Stete License Number Contract Price oi Work <br /> �Q/l� �?dXZ.% <br /> Proposed'Jse of 8uilding Contact Person (Plan Review) <br /> Descdption of Work to Be Done: ��.�na/� �y/L � ',���•�fL�(j��J /��2� ��� <br /> �us� Li(�.�5 <br /> NOTE: PLANS FOR ELECTRICAL WOf�K 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 GF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HE4LTH CARE FACILITIES PLANS WILL 8E REVIEWED BY THIS OFFICE. <br /> NOl'E: WIRING IN N7N-DWELLINGS IS NEQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTIiICAL AND COMMUNICATIONS SYSTEM FECEPTACLES ON WALLS <br /> WITHIN 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 /> ENVIRONMENTAI 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW TNE SAME TO BE 7AUE AND CORREC7. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERfJING THIS TYPE OF WORK WILL BE COMPLETED WHETMER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING CF A PEAMIT DOES NOT PRESUME 70 GIVE AUT HORITV TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAIh REGULATING CONSTRUCTION OR �,HE PERFOFMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEAFOFM THE WOFK FOR WHICH APPLICATION IS MADE ANO 1 CON.PLY WlTH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � - y�so3 I FELE�, _ <br /> Signature Dete lO <br /> ELECAP�REVd2001) � O3G�-I—IOB� <br />