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ELECTR' ;AL PEHMIT APPt CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I I y I �I I `I �>> A �� 5 E F,;�,���- �-�,'� 9 s;�� <br /> PROJECT ADDRESS <br /> �1.� �� i� n��,� � ��I�`' i9t� Av� �E F��e��.-�� C+Jt� �i8.;;�� �1� - a�i��-�Sr�vr7 <br /> � <br /> Owner Mail Adtlress City State2ip Phone <br /> � ' ��� �y (� 1 / <br /> L�USC,� ��.L'✓t' i'� ��� � �� �C� ... ��11P. �F �I !/.,,, (n/H "Il�{z'_'J� ��;�5 " ,M`���— cJ��,�7 <br /> Tenant � Mail Address City State2ip Phone <br /> � <br /> R I� ���I Sinil S�'rl il r'� I��21-� I�•�{'�,NII - F•�P�r��r f��,;:,. .��,n�C 1-?5�( 1�i �ll (:rtcY LJr� `iB��ll `I�5-s�,� s��c <br /> Electrical Contra tor Mail Address City � State2ip � Phone <br /> hf�T.sLs��-`�9�f'G T„ci�_,r�.rd i ��, <br /> Slate License Number Contract Price ofZVork S;j�-� <br /> r�e�r � F1z��� 1� (Sc`�f���.I�C.� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: T�1, }niI ��1�L C'-l�a�� �'. ! � � �=;Gr d,�S����((,1 ('�Vl I�C� t1 .�Qc;. <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STAI'E FUNDS MUST 5E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. `NAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED 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 ABUVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR .4LONG 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 HERE5Y CERTIFY THAT I HAVE READ AND EYAh11NE-D THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFCl45lONS OF L7WS AND ORDINANCES GOVEnNING rHIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClrIED HEAEIN OA <br /> NOL Th'E GRANTING OF.7 PEAM1IIT DCES NOT?FESUM17E 70 GIVE AUTHOFITY TO VIOUTE OR CANCEL THE PFOVISIONS GFANY OTNEA <br /> STATE OR LOCAL WW FEGUL7TING CONSTFUCTfON OF THE PERFOFM1IANCE OF CONSTFUCTION. TNAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PFCPEn'fl' TO PERFOFA4 THE WOFK FOR WHICH APPLIC�TION 15 M11ADE AND 1 COMPLY WITH THE STA7E <br /> CONTRAGTGFS L7LV 18.D RCW AND 296200 WAC. <br /> � <br /> � �� , C�� (g �7 FEE <br /> Signature Date — n <br /> �/_� <br /> ELECAP�REV 8.'2C01) (= � J� �_IS ' <br /> t� <br />