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ELECT�ICAL PERMIT AP� '_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAF STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> y��� s;���t,a c P,�� <br /> PROJECT ADDRESS <br /> l f'�-r� �-�1 S l7 rN B,�6 x! �— �cl� <br /> Owner Meil.4ddress Ciy Stata2ip Phone <br /> � <br /> Tenant � Meil Adtlress Ciy State2ip Phone <br /> S��u��sl'E(�cr. �sA�3�„�tN �2. i�ri` l,e�,4' 9';Q�-o i � s"�S-/X�'}- <br /> Electncal Contractor Mail Address Ciry Slete2lp Phone <br /> SEA-NUE20Q9QN <br /> Stete Ucense Number Contract Price o1 Work <br /> Pro��J-3-� �C.� <br /> se ol Building Contact Person (Plen Review) <br /> Descnption ol Work to Be Done: (�I Q/ / � S/�-y.�/J �Q/l, e � �4 D"�L�/NQ (� Q � <br /> f [� IG!'�,�U Lv /'f�� NCt.�� � '1- S �-✓L�.D .DDiv�- l • <br /> �� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCAIIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF ',JASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CI'iY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND �LL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-UW EL�.INGS IS REDUIRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILiTY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPAGES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOFi. 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 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 /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATfON AND KNCW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND OADINANCES GOVEFNING rHIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTINC'i OF A PERMI r DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM 7HE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 78.27 RCW AND 296200 WAC. <br /> !/ �G�-���ZCG'%�'CL'/l. FEE <br /> �-) <br /> Signature Date <br /> ELECAP�REV 8I2001� <br /> += U�S o� � �%o� <br />