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ELECT'�ICAL PERMIT AP"'LICATION <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-881Q - FAX 425-257-8857 <br />, <br />,'L'�C'� S>r. ST <br />FROJECT ADDRESS <br />Owner <br />7 �� � <br />Tenant <br />Mail Addre�s <br />Mail Address <br />�7 /� / <br />�j.Z� (J/���ro(w.>� Gvf- <br />Ciry State2ip <br />City State2ip <br />l l. 3G-D�I <br />C- c �l l/ -/ �1� <br />`%,�1t> / <br />r �yy-�,�ii <br />Phone <br />Phone <br />F_�i�c'T/`i c L1��=S'•—,T..�c ,��''/7,�./G;,�, 5.— itJrl�-c�,-.�c-� L�/i�- i��7j ��c�y/%-%37fr <br />Electrical Conlractor � Mail Address Ciry Stata2ip Phone <br />r� �, � �iwrv 3 0 � 1 � <br />� <br />State License Number - <br />� � �, <br />���'S���r�C�z" <br />Pniposed Use of Building <br />Description of Work to Be Done: <br />)T-'r�l.(.P v�� <br />/ i ✓ <br />��if : /' j .'1 . �+ C-' !� c� / �Y C�C Y i <br />� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�� Sc�:-� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY TH[ STA'i'E OF N:i,SHINGTON. APPLICANTS WITH SUCH JOdS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT �VILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HE�'�LTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DbVELLINC� IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMit4UNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALO�G ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. VJAO 51-20 SEC. 3106(c)2. <br />ENVIRONti1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER bPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIPI THE REACH <br />RAN3ES OF WAC 51 •20 SEC. 3106(B)4 E& F AND NOT LESS THAN 36 INCHES A60VE THE FLCOR. <br />I HERE91' CEnTIFY 7HAT I f. �'� Fc'AD AND EXAh11NED THIS APPLICATION AND KNOW THE SAfdE TO BE TRUE AND CORFECL ALL <br />PFOVISlONS OF L.IINS AND OnUINANCES GOVEFNIh'G THIS TYPE OF WCFK WILL BE COhIPLETED WHETHER SPEGFIED HEFEIN CR <br />NOT. THE GRANTING OF A PEn'�FIIT DGES NOT FFESUM1fE TO GIVE AU � 4CFl i}' TO VIOLiTc' OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA7c OF LOCAL L.4W FEGUWTlNG CONSTFUCTION OR THE PEnFOr M1fANCE OF CONSTFUCT,'ON. THF.T 1 AM AUTHOFIZED BY THc' <br />OWNEA OF 7HIS PFOPERTY TO PEAFOFM iNE WOFK FOF WHICH APPLICAT/CN IS MADE AND 1 COM1iPLY 1NITH TNE STA7E <br />CONTqACTOFS LAW 1827 FCW AND 296.20C WAC. <br />�)� , _ -� , i <br />�, <br />SignaNre <br />ELECAP�REV 8/2 W � � <br />Date <br />/, <br />C��/_ �!�h <br />FEE � 5—�Uc, <br />