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ELECT ZICAL PERMIT AR 'LICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � � �� �.�,�.�f�l����c� �y <br /> PROJECT ADDRESS � <br /> 1' ��i.,l�,� ? �`l.�ti/�S' rU E>'j�, ;� ss�� sF� c�A 9�'i�a��.�9s�y�s <br /> Owner Mail Address i:iry Stete2ip Phone <br /> T r�ant - Mail Address City £txte2ip Phone <br /> �S� L ll�C� ��7 �z�X �$�U'� �'x.�;d/,� Cvf,�''r�'-l�' aI�. S'S5'' • �� <br /> Electrical Contractor Mail Addrass Ciry State2ip Phone <br /> r v��l s�oqyc�,Q <br /> State License Number Contract Pnca of Work <br /> �t.�t��[.. I A ��J��f��" <br /> Proposed Use of Building Contact Person (Plan Review) - <br /> DescriptionolNJorktoBeDone: ���e� ��c�>�/I�C�r ��S 7/�f ����, 'j/L� <br /> (,P!,�H �),�C�> I`�<- P�r i� f/.�.�' i, ��J.L . 99����/'�' t_��- <br /> }�►v� �nPs T v `t�.E���. rU �5 i S _ <br /> �� 'C�,�� �P ,t�I�1� LI�L'll !fJ 0�� U,�/lT <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 /> EDU!:ATIONAL FACILITIES AND ALL HEALTH ;,ARE 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 RECE�'TACLES 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. �106(c)2. <br /> ENVIRONMENTl,� AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT V�'ITHIN <br /> ACCcSSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RA�'GES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMWED TH/S APPLICA;iON AND KNOW THE SAME TO BE TRUE AND COFAECL ALL <br /> PFOVISIONS OF Li W5 AND OADINANCES GOVEFNMG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEGRED HEFEIN OR <br /> NOT, ThIE 3FANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AU7hORITY T'J VIOLATE OR CANCEL THE PROVISfONS OF ANY OTHER <br /> S7ATE UF LOCAL L7W REGUL4TING CONSTFUCT/ON OR THE P�FFORMAPiCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br /> OWNER OF 'HIS PROPERN TO PEFFORM THE WOFK FOF WNICH APPUCATION IS MADE AND I COMFLY WITH TNE STATE <br /> CONTRACTOFS L4W 18.2i FCW AND 296200 WAC. <br /> � �� �; -� 1� � l <br /> I\.��,%';��kJ��_�;— '�,(�.� FEE <br /> Signature � Date <br /> Eozos -ori <br /> ELECAP�REVBl2001) � <br />