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ELEi�'TRICAL PERMIT ! ?PLICATION <br /> I CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3 r10 3 C'�z� ��!� �a�_ 1`� <br /> PROJECT ADDRESS <br /> ���, N�Ir�,.► , �io� �'��/ e��{yC'PaN��r�f C�r„ K�-� ��, � �/,�ri- 33� - vzc,9 <br /> Owner Mail Adtlress Ciry State2ip Ptane <br /> �.. w�,�--�--�— <br /> Tenant � Mail Address Ciry StatelLip Phone <br /> f-�.c�u�G,e.+ 3�a � L—�o,��bfh�� L—�io,,� fi�= ��I ��—X�GI <br /> EIBCt I Contractor Mail Address City State(Zip Phone <br /> ��Y�Ati( ss/�F2 c- P <br /> te License Number Contract Price of Work <br /> �,.e.0 r .d,.¢,yi [ r - <br /> Proposed Use of Building Cantact Person (Plan Review) <br /> Oescription of Work ro Be Done: [J rv d �.�JZ Tu 1.��u �f � (cn�u i � � <br /> P U`l- `�G,.Q �.�a l�ce�.v� �c t e� ti �fi 2 � d c `k <br /> (3.�.�f�ea � S'rKs �r �ole 1 �� � � <br /> , <br /> I <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 ti1UST 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 REVIEW ED BY THIS OFFICE. � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS � <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIf1LE ROUTES OF TRAVEL SHALL 8E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. I <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT 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 FHE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TYPE OF WOFK WILL BE COMPLeTED WHE'HER SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO CaIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTNER <br /> STATE OR LOCAL LAW FEGUL4TING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCT70N. THAT 1 AM AUTNOFIZED BY THE <br /> OWNEfi OF THIS PROPERTY TO PERFORM THe WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 78.27 RCW AND 296.200 WAC. <br /> FEE 3s'� <br /> Signature / Date <br /> ELECAP(REV82001) �G 3oS-GKq <br />