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NUV 1 g 2004 <br />_ __..._ _ __ <br />Y Or EVERETT <br />� <br />� <br />ECTRICAL PERMIT APPLICATIOI�ECE� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982G I N C V ��j <br />425-257-8810 - FAX 425-257-8857 <br />OPERATIC <br />� <br />3ko� 3�1` ,�v�. �y; <br />PROJECT /A�DDRESS n(� '/n p�/� <br />U�.rw� ��.�1"� !IUI17 ��I � ��-IIF A..l- �11Q.IQSf� �� Ahi � o�C(�� — <br />Owner Mail Address Ciry Slale!Zip Phona <br />�u�. c�� aGu„Q . <br />Tenanl Mail Address Ci1y Slata2ip Phone <br />(425)653-9085 <br />Mail �ddrass <br />ELECTSL042M2 <br />Slate License Number <br />Proposed Use of Building <br />Description af Work lo Be Dono: � DC. Z�✓" ", <br />Stale/7Jp Phone <br />�1��.�5 <br />Conlract Price of Work <br />'h�I„�H �,,,.` <br />Contact Person (Plan Review) � <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 296-06-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS 1NILL BE REViEWED 8Y THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACcWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBIE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br />ENV�RONfv1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHcS ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND FXAMINED TH/S APPLICATION AND HNOW THF SAMF TO 9F TRUE f10 CORRFCT Al 1 <br />HE GliaNnNG oh n Ptfilvfll UohS NOT PlzESUME TO GIVEAUTHORI7YTU V/OLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br />iR LOCAL LA W REGULA TIA'G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF <br />HIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WI iH THE STATE CONiRACTOFS LA W 78.27 <br />'CW ANO 29Q200 WAC. <br />__�-- — - —.._---� <br />`_----- � <br />i r lr�o��! FEE 35 °a� <br />Signatur�� � Dal�—� <br />ELECAP(REV8R001) <br />Eaf/l -/.21 <br />