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��, ELECT�CAL PERMIT APF'�.ICATION <br /> �� CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> J <br /> ��I� % — �% � /�!' St �i <br /> PROJECT ADDRESS <br /> C. c.,�-S� �.�-ij"L l;�S'7�'� `�.Llo I,Ji='�MC•^—� /k�/� �/1'L.r'[� l^'/� `fs 2.G/ <br /> Owner 6fail Address City State2ip Phone <br /> }" JSl-li k'i,,/l, %/yl� -/i'�� /31.'c� I'C� � EV�i�-T'f, �tia `7Y�� i <br /> Tenan� � Mail Address Ciry State2ip Phone <br /> ,,.,. y z� <br /> h �� 5/Ge✓ lc_kv;c�� /(.Iiz i'�i71��e -cti'7=�-�r 1h,-�r �G�39 ���i�� e��=�� 33�,{'iL�o <br /> Elecirical ContraCtor Mail Address City �State2ip IL'q. js'�/� Phone <br /> �":TSI�� � �I�I� �n �J °=' <br /> State License Number Contracl Price of Work <br /> twf SlAi': .�r=,�, � ���1YJ� �,`lO:.1�A .� T <br /> Proposed Use of Building Contacl Person (Plan Revieav) <br /> DescriptionofWorktoBeDone: �i�: ���LL C>rJE S �C,n� (�IS ,+�L ��! ,1��n �f�^,�L ��l� <br /> I�'= C—. x 1 S I 7 .`� l., �'=- l��cl� <br /> < _ <br /> NOTE: 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 PL.ANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIB�E 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 F,ND 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 57-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE5Y CE.R7IFY THAr I HAVE FEAO AND EYAh11NED ThlS APPLICATION AND KNOW THe SAME TO BE TAUE 4ND COFFECT. ALL <br /> PFOVISiONS OF UWS AND OFDINANCES GOVEFNING THIS rYPE OF WGFK WILL BE COMPLETED WHETHER SPEC/FIED HEREIN OR <br /> NOT, THE GRANrING OF A PEAMIT DOES NOT PFESUME TO GIVE AU7HORITV TO V10L7Tc OR CANCEL THE PROVISIONS OF ANY OTHER <br /> 57'A7E OR LOCAL L7 N FEGULATIN6 CONSTFUCTION OF 7HE PEFFORh1ANCE OF CONSTRUCTION. THAT! AM AUTHORIZED BY THE <br /> OWNE.R OF THIS PFOPEn7Y t0 PERFOF�d THE WOnK FOR WHICH APPUCATION IS h1ADE AND 1 COMPLY WITH THE STATE <br /> CONrRACTCFS Lr7W id2;FCW AND 296.200 WAC. <br /> �'� -/? �./o y FEE <br /> Signature Date <br /> ELECAP(REV 812001� '_����� <br />