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/ <br /> � /�� <br /> ELEC�f . �ICAL PERI�IfIT AP� LICATION '�'�' � <br /> CITY OF EVERETT PEFtMIT SERVICES <br /> � 3200 CEDAR STREET, EVEHETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /:" � %' - � " � �� S% ' <br /> PROJECT ADDRESS �- i � <br /> � :'r-. � � C�=�ii���'�� '��/Z �L.8U�1/- J i���3 (/ ��' <br /> �F�E7l ���--�-/`�'�,f'a�� <br /> Owner Mail Address Ciry StatelLip Phone <br /> ��.�.c, a.�,; � ��-t.��.. — _ y25�59-((7< <br /> Tenant r,,. Mail Addr� City Slate2ip Phone <br /> � ;�nt�GF A75���"('7F�;G� l'o �'aX lISZ �UE � ��f�- 9 .1.Y -ZSZ ZIo7 <br /> Elecirical CoNraCtor N,a�l Address City State2ip phone <br /> ;�� ...- �J /��� � '�� <br /> '7` <br /> Stato License Number f,ontract Price of Work <br /> �U/� <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: j�� /;�L�tJ �Y�y Ckl 5 7`f� �y (O�� d`f�}� <br /> �i ti�50 n f f;-,C��7 T��c?A i.''...D C. �FG C7"i Ur== � Lv �TI-� /U�Gv �CYj /r�{:r0�' <br /> P�i,���%n�!-ti...� <br /> � :�-- `'� Y l:G ;l, — <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE �TATE OF W.4SHINGTON. APFLICANTS '.NITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. FLL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES P�ANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CRBLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICAT�ONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 iNCHES ABOVE THE FLOOR. WAC 51-20 SEC. 310o(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTNCLES AND OTHER OPERABLE FQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTF_S OF TRAVEL SHALL BE MOUNTED WITHIN THE R[ACH <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 APPLIC�TION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOV/SIONS OF LAWS AND ORDI,VANCES GOVERNING THIS TYPE Or WORK WILL BE COMPLETED WHETHER SFECIFIED HERE/N OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO G/l�E AUTh10FITY TO V/OLATE OR CANCEL THF PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFOFh1ANCE OF CONSTRUCTION. THAT I Ahl AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND 1 CO,NPLY WITH THE STATE <br /> CONTRACTORS LAW 18.D RCW AND 296200 WAC. <br /> i <br /> tiR c+../ �. c� /�.�f' � � FEE <br /> Signature Date / � �� � � <br /> ELECAP(REVq12C01) � 6ZO'3-0'�3 <br /> -rti:+i.�:L'..-�F�I!'.VS�� <br />