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ELECTRICAL PERMIT APP�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _I1 � 1 R /R�`',�lUc'." S �. �- ��'3 <br /> PROJECTADDRESS <br /> �';�i2JlJ�—'TL �Ch�ARi� InJcle51 u-� �� (��X/dS`J SN�+I�m�rN��.��a y�i9 / 415-33y 501� <br /> Ownar Mail qddross <br /> Ciry State2iP P�ane <br /> Tenant MailAddress City State2ip Phone <br /> Jc �C1M.C.�IaLYdKAtiNC PJ 13�'1S3a11. C�/�NL.lon--n i,).h .ai�U'{ 6 �fJ5=774 � ���/ <br /> ElecMcal ontractoi' MailAtldress Ciry ��� � gta�eiZip Phane <br /> �m��rdr�oaD � Cc`'" <br /> State License Number Contract Pnce of Work <br /> �L�rR1L <br /> Proposetl Use of Bwiding �~��y ���-�`� <br /> Centact Person (Plan Review) <br /> Descnption of Work to Be Done: �— "rI�L�R_/y�0$(yq'� �f� LS <br /> i�OTE: 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 EVERETT PERMIT WILL BE ISSUED. �NAC 296-�i6-140. ALL OTHER <br /> EDUC�TIONAL FACILITIES.�ND ALL HE�LTH CARc =AC;LITIES P!ANS WILL 9E REVIE�NED BY THIS OFFICE. <br /> NOTE: VVIRING IN NON-DWELLINGS IS REQUIRED TO BE !N RACB�NAYS. ?AC OR AC CABLE. <br /> HANDICAPPED :\CC�SSIBILITY: =LECTRICAL ,>�1D COMNIUNIC.ITIONS SYSTEM REC�PTACLcS ON �NALLS <br /> 'NITNIN ACCESSIBLE SP.4CcS OR ,aLONG :\CCcSSIBLE ROUTcS OF TRAVEL SHALL BE MOUNTED '1 �b11NIMUM <br /> C� 15 INCHES ABOVE THE F!OOR. '.NAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EUUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E �10UNTED WITHIN THE REr1CH <br /> RAN;ES OF WAC 51-20 SEC. 3106(b�l E & F AND NOT LESS THAN 36 INCHES ABOVE THE rLOOR. <br /> I HEREBY CERT/FY THAT! HAVE READ AND EXAMINED THIS APPLICATION AND KNO W THE SAME TO 8E i RUE AND CORRECL ALL <br /> PROV/SfONS OF LAWS AND OROINANCES G^.VERNING THIS TYPE OF WORK'NfLL 9E COMPLE i ED WHETHER SPEClFIED HEREIN OR NOL <br /> i HE 3RANTING OF A PERMIT GOES NOT PRcSUME?O GNE AUTHORITY TO VIOLATE OR CANCEL i HE PROVlSIONS OF ANY OTHER S7ATE <br /> OR LOC�:L CAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. i tiA7l AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPE.47Y TO PERFORM THE'NORK FOR WHICH APPLlCATION IS MADE AND 1 COMPLY WI7H THE STA 7E CONiRACTORS LAW;8.27 <br /> RCW ANO 296.200 WAC. <br /> _ ,/� � � r FEE <br /> ignawre p�� <br /> ELECAP�REV 8/2C01� <br /> �o��i-0�5 <br />