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ELEC�'RICAL PERMI'T A��LICATION <br /> CITY OF EVERETT PERNIIT SERVICES <br /> 3200 CEDAFi STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �?C�S •�A�! ic.4� t.�.,�/-�4,T_ r7 <br /> PROJECT ADDRESS 4'���� <br /> �c�M A(�nL.rlfti��1 y`'�n� '��.AvtE�; �>.r'�;� E�v�-�iT 4'fi�'+ 4�`�( <br /> Owner Meil Address Ciry State2ip Phone <br /> Tenan� � Mail Address Ci�y StetelLip Phone <br /> ��'iA\� !�, �l�C �. �) . ����� ��t.�`�� ��i��c_� ��.�J �v / <br /> Electrical Conlraclor Mail Address Ciry State/Zip Phone <br /> ' �/��-`�-��i'. <br /> Kfi����=#���'��. <br /> Stale License Number Contract Price oF Work <br /> ��NE-�� Fn-n�.��t' [��,_���lni:r- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ot Work to De Done: ��.��1'�Ck�_ �X 1.<',,�-� nl� �C�� /�/V�� ��L.. <br /> L'�.j��.0 �� �'� (�� '` \c�t�` 'l�i'S. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUN�S 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 W ILL BE REVIEW ED 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 ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 151NCHES ABOVETHE 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 WITHIh THE REACH <br /> NANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 11EFEBY CERTIFY THAT 1 HAVE FE40 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFAECT ALL <br /> PFOVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS 71'PE OF WORK WILL BE COhIPL�TED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE P.UTHOFITY TO VIOLA TE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> STATE OR LOCAL !AW FEGULATINC CONSTriUCT10N Ofl THE PERFORMANCE OF CONS7pUCT10N. THAT 1 AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO ?ERFOFM THE WORK FOR WHICH APPL/CATION IS MADE AND 1 COMPLY W1TH THE STATE <br /> CONTRACTOAS LAW 78.27 RCW AND 296.200 WAC. <br /> (_� �-v�' L ��=� !`� FEE <br /> Signature Data <br /> ELECAP�REV 812001) ��'�jZ''�G 3 <br />