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ELE(�'RICAL PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> a 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - Ff�X 425-257-8857 <br /> z/ � � �-�'' �7 �� - CO�G�- 01� <br /> PROJECT ADDRESS <br /> c�i= r� t "/V L�i�c r i" a v,s=.L' �- rT g zs- <br /> 7� � (� � - �� 2 1�2 3�Z7� <br /> Ownef Mail Addres� City StatelZip Phone <br /> S/t r� 6 <br /> Tenan� � Mail Address City State2ip Phone <br /> G/'—/C�3 /f�L-�y�!- �i i// i��L s 7� 5!i— . 5�t/n_Hn_ " ,A'Z'—�---�E' <br /> n.� <br /> Eiectrical CoMractor Maii nddress Ciry ' State/Zip ��n � �P one <br /> �—4z.� <br /> ,�i� i �'s3- z93cs�i <br /> State License Number Contract Price of Work <br /> D U f�-i?-X <br /> Proposed Use of Building Cantact Person (Plan Review) <br /> Description of Work to Be Done: /c i T%6 i ef�'� t.� T/G / Ty � J�4�i Ti Gi�i F p <br /> /_�4 !/� /)GL/ 'T <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 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE 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: 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 FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 A80VE THE FLOOR. <br /> I HEREBY CEATIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVIS/0NS OF L4WS AND ORDINANCES GOVERNlNG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLArE OR CANCEL THE PFOVISlONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEA OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WIJH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> �j FEE <br /> � %_'-t-� .�� .l',- �•� <br /> Signature Date <br /> ELECAP�REV BI2001) �O�"J-//`� <br />