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ELECT'iICAL PERMIT AP"tICATiON <br /> CITY OF EVERE'I7 PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVER�TT, WA 98201 �� ` a' �"0� <br /> 425-257-8810 - FAX425-257-8857 � Ob� l� ��3 <br /> L.C(�( 2 5`'�`` S �'� <br /> PROJECT ADDRESS <br /> /1/� 1����i C-�V�S {' <br /> Owner Mail Address Ciry State2ip Phone <br /> Tenant � hta�'Address City State2ip Phone <br /> 1�,��-C�"o L1� i.�'v-cc. t'lt- f�r�>�— �Uy4 S•dv�tvn..S� �c�c�. rlc��Z�/ y1s3i75'�sy <br /> Electrical Contracto, Mail Address Ciry State2� Phone <br /> G <br /> 1'LlCI,L�v p L =�('T[��t �-i � ,�JT�I <br /> State License Number Cohtract Pric�ot Work <br /> t'V'� �C I�J <br /> roposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: � �+ [U 1.� \:t I�� � � l� <br /> J <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 EVEPETT 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 REQU�RED TO BE IN RACEWAYS, MC OR AC CABLE. i <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS �I <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MI�IMUM <br /> OF 15 INCHES ABOVE THE FLOO�. WAC 57-20 SEC. 3106(c)2. I <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHF� OPERABLE EQUIPM[NT 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 THE FLOOR. <br /> I HEFE5Y CERTIFY 7HAr 1 HAVE READ .�ND EXAM1IWED 7HIS APPLICATIGN AND HNOW THE SAME 70 BE TAUE AND CORRECL ALL <br /> PFOVISfONS OF L-0WS AND OFDINANCE$ GOVEnNING THIS 7VPE OF WCnX WILL Bc COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GAANTING OF A PEnM111T DCES NOT PFESUh1E TO GIVE AUTHOFITY TO VIOL77c`OR CANCEL THE PROV/SIONS OF ANY OTHER <br /> S7A i c OF LCCAI. Lr14V n'EGUL7TING CONS7FUCTlON OF THE PEnFORMANCE OF CONSTAUCTION. THAT I AM AUTHOFfZED 6Y THE <br /> OWfJER OF THIS PFOPERTY TO PERFOFM iHE WOFK FOr WHICH AFPLICATION IS MADE AND 1 COMPLY WITH THE STA.TE <br /> CON7FAC70F5 LAW 18.27 FCW AND 296.200 IVAC. <br /> 'l �/r � ' '�-. _ �I z`������ FEE <br /> � <br />' Signature Date <br /> ELECAP�FEV8I20Jt) �G���-� �j�7 <br />