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ELE�RICAL PERMIT A�PLICAT'ON <br /> CI OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �L�?� UC�c�cF2 >IU� <br /> ��C���,�i��i✓aN - 1928 QuCi(��E ff�e - �'✓.e�F� (�- 9�2v1 <br /> OwnBt Mail Address Ciry g���� <br /> P P�one <br /> Tenant ' Mail Address Ciry State/Zi <br /> /F��Y� �k�h°l� Co�� - ,3108 191� SrSVJ-LVnn u�14 9�0 (,425 "17�-lnC013 <br /> Electncal Contractor Mail Address ry S�ate/Zip Phone <br /> �env�c3o� i�5 � (�,4G�,� <br /> State license Number Contract Pnce ot Work <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> Description of rk to Be Done: l'.y �`l/ I a� �� ' � �� <br /> � � � u � nr �� <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 WILI 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 MOUNTEU A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER qPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROl!TES OF TRAVEL SHALL B� MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES A90VE THE FLOOR. <br /> I HEFE9Y CERTlFY THA7 I NAVE READ AND EXAh1/NED THIS APPLICATlON AND KNOW TFIE SAME TO BE TFUE AND COFRECT. ALL <br /> PROVISIONS OF LA WS ANO OFD/NANCES GOVERNlNG THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANrING OF A PE.RMI7 DOES N07 PRESUME i O GIVE AUTHORITY TO v!,7(,q7E OR CANCEL THE PROVISIONS OF ANY OTNER <br /> STATE OR LOCAL L4W FEGUL4TING CONS7RUCTION OR THE PERFORMANCF 4F CONSTAUCAON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH/S PROPERTY TO PEFFORM THE WORK FCA WHICH APPLICATlON IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> Vf /G(_. M'� �I� IO_Z�� FEE <br /> Sip aNre Dete 4 p, <br /> ELECAP�REVfl200�) ���G� ` I <br />