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� ELECT► �ICAL PERMIi' AP� �ICATION <br /> CITY OF EV@RETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �L t+ 2 r�, �3 �; T- r'd: <br /> PROJECT ADDRESS �ZS <br /> L3.^i�9a� .�,a-,ii.f' rl-Fs:�Fr,C�, 1,-E�oZ cL�f'�~oL' L�v.�/'.�1-T �• .-, S� a ' -.S 9 <br /> Owner Mail AdCress Ciry State/Zip phpne <br /> Tenent Mail Address Ciry SletefLip �hone <br /> � ♦ 3[•U <br /> �� ��.r� �ai. i�la�<.� sr_ t.s•v,�� »,3,r� ,� . ,pr� fa _ �tig -u- a� <br /> Eleclrical Conlractor Maii AtlOress Ciry Stete2ip phone <br /> /oT/�s!3 � 2�/�L��i <br /> State License Number Conlract Price oI Work <br /> ��� <br /> ProposQd Use of Building Contact Person (Plan Review) <br /> Description ol lkork ro Be Done: �OO,P� �yG!'f��T� ��`���,p f <br /> /.- e���T� n.ct ' <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 296-46-740. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABL�. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEC A MINIMUM <br /> i OF 75 INCHES 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 GR 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 GERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TqUE AND COFRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, TYE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT f.�M AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICN APPLICATION !S MADE AND I COMPLY WITN THE STATE <br /> CONTRACTORS L4W 18.27 RCW AND 2P6200 WAC. <br /> ���___ �_� �� �l2- Y/�1 FEE <br /> (./� �. ^ iL�*>'t <br /> I Sipnature Deta <br /> ELECAP(HEVBf2001) �/���/� J <br /> vl / <br />