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ELEC�''RICAL PERMIT A��LICATIQN <br /> � CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> t S�. 1,��,t+J . ' �37-u1 51,ui� i qY7�( •- �. 11�{- <br /> PROJECT ADDRESS <br /> Owner Mail Atltlress Ciry Scate2ip Phone <br /> 1rJe�� t�l�s�„�1-u� il�ti��n. - 320� �, - c�r , �a� q a�� <br /> Tenant - J Mail Pdaress Ciry State2ip �a <br /> C��)�sr3-�, <br /> t�-lcSy l�(�i�lq rJE �(t� s4. Qc�Eu�c�•�( 1��-�q�Dosz (4z�kl��(-z84o <br /> Electrical Coniractor Mail Atldress City Slate(Zip Phone <br /> t-lCsSs'-.��Ra3�!r �5oov . - <br /> State License Numher Contract Price of Work <br /> � Warr��. i���s <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description af Work to Be Done: _L(}V•� V(�'1t�(, �t�/�,�� � �J��Q� �u�ti1-� l,N ���H ,Jn <br /> �-t+,, . a l� <br /> NOTt: 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 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PIANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS FiE�UiRED TO BE IN RACEWAYS, MC OR AC:;ABLE. <br /> HANDICAPPED ACCESSIBILlTY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACC�SSIBLE FOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF i5 INCHES ABOVE THE FLOOR. WAC 51•20 SEC.3106(c)2. <br /> ENVIROD�MENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACE; OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 31o6(b)a E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFE3Y CEAi lFY THAT I HAVE R[AO AND EXAfdINED 'fYIS FPPLICAT/ON ANO KNOW THE,�iAME 70 BE TRUE AND CORRECL ALL <br /> F40VISIGNS OF L.i WS AND ORDINANCES GOVEFN7NG THIS TYPE OF W"ORK WILL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br /> NGT. THE GFAfJTING OF A PEFM/7 DOES NOT PFESUME 70 GIVE AUTHOFITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> ST47c OF LOCAL L7bl'REGULATING CONSTFUC'flON OR THE PERFORMANCE OF CON57AUCTION. THAT(AM AUTh'ORIZED tlY THE <br /> OV/NER OF iH15 PFOPEFiY TO PERFORM THE WOFK FOfl WHICH APPL/CArlON /S MADE AND 1 COMPLY WITH TNE STATE <br /> CONTRACTOFS L4W 78.27 RCW AND 296.200 WAC. <br /> `�L�.}-c�. L—>�� 7 ZZ/OJ� FEE <br /> Signature Date <br /> EIECAP�REV B/2001� E('J�(p.�(q <br />