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ELEC,�''RICAL P�RMIT A�LICATION <br /> CITY OF EVERETf PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 31 y as� � . <br /> P ADDRESS' / ���� .�o <br /> _���-c� /� o�, .S-'o�r'.P �iv�.G� l.�//.�� �.5��- 3,S a / <br /> wner Mail Address City State2ip Phone <br /> Tenant ' � .�J Mail Address City State2ip Phcne <br /> J /P c'=a�- o��-e� 7a � l � S,'� F��,o�.� l�/t1 �/.�s,Fs azs-, <br /> Elecincal Contractor Mad Address Ciry � State2ip Phone <br /> .T,� ��Q�`�� / 3 /�/k. �/s�o �� <br /> State L?cense Number Contract Price of Work <br /> ��`�' . <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /Zp����� o��� '� �j o / � <br /> ���uJ /J�'�� - <br /> NOTF: 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 EVERElT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACI!ITIES PLANS WILL BE REVIEWED 8Y THIS OFFICE. <br /> NOTE: WIFING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEW.�YS, MC OR AC CABLE. <br /> iiANDICAPPED 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 ABOVE THE FLOOR. <br /> 1 HERE9Y CERTIFY THAT I HAVE AEAD AND ErAMINEO TH/S APPL/C.4T/0N AND KNOW THE SAME TO BE 7RUE AND CORRECL ALL <br />' PROVIS/ON:� OF LAWS AND OROINANCES GOVERN/NG THIS TYPE OP� WORK W/LL BE COMPLETED WHETHER SPECIFIED HEFE/N OF <br /> NOT, THE GRAN7ING OF A PERMIT COES NOT PRESUME TO GIVE AUTHOHlTY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATc OR LOCAL LA LV REGULAT/NG CONSTRUCTION OR THE PEnFORM1fANCE OF CONSTRUCTION. THAT I AM AUTNOR/ZED BY THE <br /> OWNER OF TH/S PROPERrY TO PERFOFiM THE WORK FOR WHICH APPL/C4TION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONT.4ACTOAS LAW 78.27 RCW AND 296.200 WAC. <br /> , <br /> ✓ - � —QZ FEE <br /> Signature Date <br /> ELECAP�RE4 8f2001� i <br /> ����/-�-� <br /> � <br />