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ELEt�'�'RtC�lL ��RM9T A�'�LlCATION ; <br /> CITY OF EVERETT PERM!T SERVICES '� <br /> a' 3200 CEDAR STREET. EVF.RE7T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ���.�' �1�� - 39r�� sT, Lo ��-o o y <br /> PROJECT ADDRESS <br /> ►T 4.�' �1 UA l.lT�/ C�1/./ f T' — <br /> Owner .'vlail Address City State/Zip Phore <br /> Tenant � Mail Address Ciry State/Zip Phcne <br /> � L l��/�%%l� !G l.�� T.�� �- �r� �� C - <br /> Eleciricel Contrac r Mail Address Ciry State2ip Phone <br /> ,�) _� f� /lv�= �pp3 NT . <br /> State License Number Conhact Pnce ot Work <br /> ���� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: l� ���� N�� c��� �— �v � ��p <br /> � � ���V� �, � <br /> NqTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTI�IZ�NG STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SH01�/ THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH C aRE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICHL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALOfJG ACCESSIBLE ROUTES OF TRAVEL SHALL BE PAOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTAi,LES AND OTHER OPERABLE EUUIPMENT 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 /> 1 HEREBY CEFTIFY THAT I NAVE REAO AND EXAM1IINED THIS APPL/CATION AND KNOW rHE SAME TO BE TFUc AND CORFECT. AL! <br /> PROVISIONS OF LAbYS AND (�FDINANCES GOVEFNING TNIS TYPE OF IVOAK WILL BE COhiPLETED WHETHER SP�CIFIED HEFEIN On^ <br /> NOT, THE GRANTING OF 4 PERM17�OES NOT PRESUhIE TO GIVE AUTHORITY TO VICLATE OR CANCEL rME PFOVIStONS OF ANY OThEn^ <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFCFM1fANCE OF CONSTFUCTION. THAT I AM AUTHOFIZED BY THE <br /> OLVNER OF THIS PFOPF.RTY TO PERFORM THE WORK FOR WHICH APPLICATIQN IS MADE AND 1 COMPLY WITN TFiE STAie I <br /> CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. � <br /> � FEE <br /> � 7-/- Uz. s S o3 <br /> ' Signature Date <br /> ELECAP(REVfl�2001) F ���C,'-7 — L`'(^ �3 <br /> .�tra�. 1 e�f�If1lirPj�y;�:�, i i�i �� ii���% . .:.3 <br /> � _ . ! �,..��ue.::. : :6�w�.� <br />