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� ELECTf"ICAL PERMIT AP�''aICATION <br /> �N E� CITY OF EUERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �a o l - 1�.�� sr ��oo ��,e.ST, /�.c? p. crd) <br /> PROJECT ADDRESS <br /> UTiG/T/ �� `�i o �' G�J,¢� <br /> Ownef Mail Address City �tate2lp Phone <br /> A r�`T a,�,� �,�,�o <br /> Tenant � Mail Address City State2ip Phone <br /> y'�f.�/�LiPS � Sa,� E�r� � Po 60�' Ri3 F,d/� c/rY �v,� 99a�s' y�r ���� y/6d'— <br /> Elecirical Conlractor Mail Address City Slate(Lip Phone <br /> ,�,�J��sE•�ss ��� �Ssv <br /> State License Number Contract Price of Work <br /> ��S��Pl11 �R G�dlE�il.��ir/� �`i79�/ /'/�/LUPl 5',$) Yo��aa�_ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to ee Done: �Q �}/�'I p ,s�iP (//C� �D/1 C�}/j(� y'/Y�L/FC�� , <br /> Prf,2T o/� �i�`i /3�,9�d�-�✓1� G�B(.E G� /� � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIUNAL, 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. WAC 29fi-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO B� 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 ABOVE THE FLOOA. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND 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 51-20 SEC. 3106(h)4 E & F RND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CERT/FY THAT/ HAVE REAO .4N0 EXAMfNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SICNS OF L4W5 AND ORDINANCES GOVERNING rHIS TYPE OF WORK WILL BE COMPLETED INHETHEA SPEClFIED HEREIN OR <br /> NOT. THE GRANTING OFA PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIC"'S OF ANY OTHER � <br /> STATE OA LOCAL LAW AEGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTAUCTION. THAT I AM AL IORIZE� 8Y THE <br /> OWNE.R OF rHIS PFOAEFTY TO PERFORM THE WORK FOR WHICH APPLlCATlON IS MADE AND 1 COMPLY v✓ITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> , �� // f (� �l.b.Z FEE <br /> v� <br /> Signature Date <br /> EL"cCAP�FEV82001) C�zG6 � GIL��O' <br />� -- <br />