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ELE�TRICAL PERMIT �t ?PLICA�'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��Z/� Gl��5�1.rI(v%O.�/ �i�J <br /> PROJEC'�ADDRESS <br /> �.n���=r/ /��7// C!/•4'S/�xJ/�%� 1��1 fdf�I•ET� C!/,g i��s� <br /> Owner Mail Atltlress . Ciry StfltelLip Phone <br /> Tenant - MailACtlress Ciry State2lo ���,�f <br /> �s�f/ /�/.Ec�",c�c 1,vc ��? ,v��'/��'s' L.tS�./E.�S � 9d� 39j—�7�s <br /> Electncal Contracror Mail Address Ciry Stete2ip � .�.one <br /> ���d .� �93 QT <br /> State License Number Contract Price ef Work <br /> J � /`- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> !J� � � i � <br /> Description of Work to Be Done: /�/—u��� S/�U��/�, f/I�7'1/LfiJ .��y,lJ�+�'X� <br /> /l�/Sni�G �'�A„i,�L <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. .4PRLICANTS 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 REQUIRED TO 8E IN RACEWAYS.MC OR AC CABLE. <br /> HANDICAPPED ,4CCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INI;HES ABOVE THE FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF Li W5 AND CHDINANCES GOVERNING THIS TYPE OF WORK WlLL BE COMPLETED WHETHER SPEClFIED HEAEIN OR <br /> NJT, TNE GRAN77NG OF A PEFMIT DOES NOT PRESUME 7'O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> S7,1TE OR LOCAL ULY FEGULATlNG CONSTqUCT/ON OR 7HE PERFJRMANCE OF CONSTRUCTION. THAT I AM AUTHOAIZED BY TNE <br /> OW��EF OF THIS PFOPEA7Y TO PE,9FORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON'RACTGRS LAW 78.27 HCW AND 296.200 WAC. <br /> 7 <br /> C��."=� � _•r"7�� J/�� � d� FEE ,�/�_ <br /> � ��J <br /> Signa�ure Dale <br /> ELECAP(REV8I2D01� � G�OS 'I � ' <br />