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ELECT CAL PERMIT AP ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 42�='.57-8857 <br /> .�a� a� flve w � <br /> PROJECT ADDRESS <br /> �;ke, S}�e�a u�.r-� <br /> Owner Mail Adtlress City State2ip Phone <br /> Tenant Mail Address Ciry State2ip Phone <br /> R,+,�};� 1-4�>� 71�0�-�,- Illa�t ya S� Sr Snahorn�sh �rA 9�a�c� �S 335 ia7S <br /> Electrical ConiraCtor Mail Address City State2ip Phone <br /> � )S h+ Oi °)C �1/U00.-�' <br /> State License Number Contract Price of Work <br /> �I2RS. <br /> Proposed Use of Builrling Contact Person (Plan Fleview) <br /> DescriptionofWorktoBeDone: �-i{�'�f✓� (1YeU�TS + a01�-Qdl �'4�(� �SQ �I('(�,�jt'3 (�Y1Q, <br /> 5�4� � �4Y��s 4 pl ua S <br /> i <br /> �.�103 <br /> NOTE: PLANS FOR � i_ECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE S�ATE 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 BYTHIS OFFICE. <br /> NOTE: WIRING IN UUN-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC C.48LE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICA'TIONS SYSTEP� 9ECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHA _ SE 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 EQUIFi.�ENT WITHIN ' <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH ' <br /> RANGES OF WAC 51-20 SEC. 3106(bj4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE S,IME TO BE TRUE AND CORAE�T. nLL � <br /> PFOV/SIONS OF L4 WS AND ORDINANCES GOVERNING THIS rYPE OF WOFK WILL BE COMPLI"iTED WHETHER SAECIFIED HEkEIP.� OR E <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PR�SUME TO GIVE AUTHORITY TO VlOL4TE OF C.INCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L'.W REGUL:7TING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCiION. THAT 1 AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICAT/ON IS fdADE AND 1 COMPLY WlTH THE STATE ' <br /> CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> � � �� ao�� FEE �-o= <br /> Sig ture Date <br /> ELECAP�REVBI2001) �_ ai09 04� . <br />� ` <br />