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ELEC �RICAL PERMIT A� ?LICATIO�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/ ��L �3 �� r�� /a"Ur AI G �/✓ / � /.� — <br />PROJECT ADDRESS <br />��l1LPu `�/�� 3�/!_�1ais nJ,�` t'=✓c.�'>T �./�� ��,��;�/ 1S%._c�:��S <br />Owner MailAdtlress �'ity State2ip Phone <br />C.sEN �-r�S ��r�� J ���t u�.� �.�1 ��;��n' • .�- ��aa; ��'9�:� T <br />TenaN � Mail Adtlress Cily Stale2ip Phone <br />E'��+i��� S4ti-i 1 Siw.[: 3Gc-i C✓:�Zi4> lfiv� �.'7/ia4J37� i.✓F �%�.'r0/ �i-) `/-�/C/ <br />Elecirical Conlractor Mail Address City State2ip Phone <br />C �/L.i.� �S� b,i-�.° <br />State License Numbar <br />� <br />Co, vi �J , vr".=ic,� <br />Proposed Use of Building <br />7 SS C'-`_ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descriptian of'Nork to Be �one: z,`2 r'� h/=j S/Nc� La' f�fij5<< ✓/}�✓sz ��F%-JNYcr` <br />NOTE: PLANS FOR ELECTRICAL WOPK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUN�S MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERElT PERAQIT WILL dE 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 FiEQUIRED TO BE IN RACEWAYS, MC OR AC C:ABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON UJALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU7ES 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 />ACCESS!BLE 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 FLOOFi. <br />1 HFRE5Y CERTIFY 'HAT I HAVE AEAD AND EXAhIINED ThIS APPLICAT/ON AND KNOW THE SAME TO BE TRUe ANO CORRECT. ALL <br />PFOVISIONS OF (.:tth'S AND ORDINANCES GOVERNING THIS TYPE OF WOF.K W/LL BE COI'APLETED WHETHER SPEGF/ED HEFEIN OR <br />NOT. THE GRANTING OF A pEAh41T DOES NOr P.4ESUME TO GIVE AVTHOFITY" TO VIOL; I TE OF CANCEL THE PROVIS/ONS OF ANY OTHER <br />STATc OR LCCAL LAW FEGU47TING CONS7'AUCTfON OR THE PEFFORh1ANCE OF CONSTFUCTION. THAT / AfA AUTHORIZED BY THE <br />OWhER OF THIS PROPEFTY TO PEAFOFhI THE WORK F0.4 ::;"„CH �PPLICATION /S MADE AND 1 COMPCY WITH ?HE STATE <br />CONTRACTOFS LAY.' 1827 FCW AND 296200 4VAC. <br />�—__-. _ ' / ._ <br />L- ' / <br />SignaNre <br />FLECAP�RE4 8/2001 � <br />—� <br />3.-f-t� 3 �ee SU� � <br />Date <br />�v�U3 �G� <br />