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ELECT�CAL 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 /> � Z Z-��— 5� TH��U/—` L(,l / � �'t <br /> PROJECT ADDRESS <br /> ,��, s� �ir� a�N:r; p , �� �x 2oy3 �v tuA 48Zo3 �zs 30� �/ 79 <br /> Owner Mail Address <br /> City State2ip Phone <br /> Tenant - Mail Address Cil <br /> Y Stale2ip Phone <br /> wt ���N;V Cl.f L C+0 iN� • 3S/S SI�Oi2� �� r-v w�. yy2a� �zs zsZ �,eQ� <br /> Elechical Conh�aclor Mail nddress <br /> ���Y Slate2ip Phone <br /> M � C�i�v � co a 3 � ✓ ��,�e c1 c� <br /> State License Number <br /> Contract Price of Work <br /> ��S 3 ,i�L�X <br /> Proposed Use of Building <br /> Contact Person (Plan ReviEw) <br /> Description of Work to Be Done: ��/G N�/�,i �_ P�� ,�_ �(�Q ��.Mp �=��h <br /> _ �— fo 0 /�MP �'�_C-'/�,G't. �i�a uS C—' ,�',�v,Fc. <br /> NOTE: PLANS FOH ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JGBS MUST SHOW THE STATE <br /> APPROVED PLANS 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 �EVIEWED BY THIS OFFICE. � <br /> NOTE: WIRING 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 1 <br /> WITHIN ACCESSIBLE 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 AND OTHER CONTROL RECEPTACLES AND OTHER OPFRABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TFAVEL SHALL BE MOUNTED WITHIN THE REACH II <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ ANO EXAM/NED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND COqRECT. ALL � <br /> PROV/SIONS OF(AWS AND ORDINANCES GOVERNING THfS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR t <br /> NOT, THE GRANT/NG OF A PEAM/T OOES NOT PRESUME TO GI VE AUTHOAITY TO VIOLATE OR CANCEL THE PROVISlONS OFANY OTHER <br /> STATE OR LOCAL LAW AEGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR WH/CH APPCICATION IS MADE AND I COMPLY WITH THE STA7E <br /> CONTFACTORS L4W 1g.27 RCW ANO 2g6200 WAC. <br /> E 02CJ 2-p�{B" ' <br /> / �_ � <br /> � �///�7 Z - j�; Q'Z FEE� OL� ; <br /> Signature ,�-- Date �z O <br /> ELECAP�REV Br7001J <br />�' _-_ —_ <br />