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�U4 �s� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _a-On(� Tow c,,,- S�p <br /> PROJECTNODRESS <br /> Sf � J. . J O O <br /> O'Mler Mell Adtlrass ��, <br /> l��1 �..�-n,-, 5��,q95�4 �96l�qpy�a� <br /> � — �au��w , Tevsw�S� �.�,e.,,� c a t�A /1'�'��l,\]J <br /> Tenant MailAtldresa � ����I ` —•����� <br /> �m' Sqta2ip p�pM <br /> �a�e�in ��5�-rt�0 p(� ��,. �557 Se�kP V116� q�j��2� ��� 3-4�-1�- <br /> Elactrieal Contraetor I ail Address <br /> S� l4Tz �t' � P��► Cjl�- � �� <br /> State License Num er <br /> Contract Price of rk <br /> Proposad Use of Bwlding D —��� y v�' <br /> Conmct Person (Plan Review) <br /> Description of Work to Be Done: <br /> C <br /> _Aus�� L;��,A, � 02-�(�6y 9 <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 STATc <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-0&140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REV�EWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAND�CAPpED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES 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 EpUIPMENT 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's6 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT l HAVE READ AND EXAM/NED THIS APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT. q(,[ <br /> PROVISIONS OF LA WS AND ORD/NANCES GOVERNING 7HIS TYPE OF WORKW/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMlT DOES NOT PRESUME TO GIVEAUTHORlTY TO VIOLATE OR CANCEL THE PRO V/S/ONS Of ANy OTHER STq7E <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONST4UCTION. THAT l AM AUTHORlZED BY THE OWNfR OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION 15 MADE AND I COMPGY WITH 7}/E STATE CON7RRCTORS LAW fE,27 <br /> RCW AND 296.200 WqC. <br /> L FEE <br /> Signatura <br /> Date <br /> ELECAP(REV fl2pJ�� <br /> �c� 3/�-U� <br />