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f � <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 /> � OC��`r� �5+�' AU� SC <br /> PROJECT ADDRESS <br /> Ver�zo,� �No��I�r,��Sf p�O . S�x lEo3 L�e�ek�+C�A �}B�,�z <br /> OWnef MailAddress City Stale/Zip Phone <br /> � e,r�-Zo� Nof�l�caes-� P.�. �3ox ro� 3 Fve�.�� c,�� 9�o6a. <br /> Tenant MailAddress Ciry state/Zip pnone <br /> LcJ ?,� J� { ^ � 7 /, 1- �jgo/p�?� <br /> C�yIV�C'l'� I�Q � ��r� 7�Sit'Vbf � H�. .�V� �+� 51. NLj 7T�. ��� /'��wVIAlN '�C/� <br /> EleCtn I CentraClof Mad Address City StatelZip Phone <br /> E'�JGI NFSW¢SIU3 V� (C� � 3(o.c�oZS3-876-odg4 <br /> State Licensn Number Contrect Price of Work <br /> �.ele �o�hw,�.,�.ic�:�����, Q1d5 � V�nik.Q �cla,� <br /> Proposed Use of Building Contact Person (Pian Revie ) <br /> Description of Work to Be Done: C �o.�.�-. (J (�.� Q �f � �� ��n QX �n S l O <br /> T�. c:c �;�.� � 0 �O ��� O O b0 � ,V <br /> �'�(��J!'� �,3 <br /> NGTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIE; 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 HEALTIi CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> P10TE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> F VDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> V HIN ACCESSIBLE SPACES OR ALONG ACCESuIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM � <br /> C I S INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. , <br /> f 'IRONMENTAL RND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMcNT WITHIN I� <br /> i � 'ESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHI:V THE REACH <br /> k�NGES OF WAC 51-20 SEC. 310Efb�E&F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERtBY CERTIF'/ THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TG BE TRUE F.ND CORRECT. ALL <br /> PROVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECI!1ED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOE.S NOT PRESUME TO GIVE AUTH(7R11Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CGIr�TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZ�D BY THE O WNE7 OF <br /> THIS PROPER7Y TO PERFORM THt WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW iB.27 <br /> RCW AND 296.200 WAC. <br /> � �r-��_� � FEE a�� , s3 <br /> Signalure Dale <br /> ELECAP(REV&2001� <br /> � dai a-�(3 <br />. � <br /> I <br />