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ELECTPICAL PERMIT APp� .ICqTION <br /> � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETr, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �v � � a*�' S+- <br /> PnROJECT ADDRESS <br /> LVe; eTr {�OuS� .VG �uTHUQ�i ~as <br /> 3 � 0�- co�g �vereTl-'w�t Ggao � so�-sC.c.1 <br /> Owner Mail Address City Stale2ip Phone <br /> GC �'f H <br /> Tenant ' Mail Address Ciry State2ip Phcna <br /> ivr�7u�;z �G�zTlz�� l�o. �a�,c 3ai s - <br /> f}-2LiNGTot� !ti/t 9�7i13 3laa (os^rj' 3/9�� <br /> EleC�ncal ContraCto� Mail Address City State2ip Phone <br /> 1NTe2�=-1- Y�ZIZZ �a 3,500 <br /> State License Number Contract Pnce ot Work <br />� Z n ie r+��fi. 3 i,c.� <br /> I ���1 Lloyc� GSS'3441 <br /> _ ry11.t l.T I I'�W11 L� £ H A- {�i�.+- Lq NG�.C- ya5•SO/•SGL/ <br /> Proposed Use of 8uilding Conlact Person (Plan Review) <br /> DescriptionofWorktoBeDone: Rtmoue � Re�pla�e L �<ci-r�c�-Q Pon�lS ' <br /> �n 2a-c� A n "''"' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPFOVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CiTY OF EVEREiT PERMIT WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIFONMENTAL 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(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE REAO AND EXAMIfJED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORREC7: ALL <br /> PROVIS/ONS OF LAWS AND ORDINANCES GOVERNlNG rHIS TYPE OF WOAK W1LL BE COMPLETED WHETHER SPEClFIE�HEREIN OR <br /> NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLqTE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTRUCT/ON OR THE PERFORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL/CATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOlaS LAW 18.27 RCW AND 296.200 WqC. <br /> Gl/.�!E:�� � /G <br /> � / //�1�� FEE <br /> Signature Date <br /> ELECAP(REV 812001) <br />