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ELEC'"�ICAL PERMIT AP^LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CED.4R STREET, E`/ER�=TT, WA 90201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �. � ,� �7- � .� -kG� c�_ � � <br /> PROJECT ADDRESS 3��J '��G,; <br /> I- °�%� � (� l��;� r� up /1 � �/��,��`� u �o �5y'7 ycS=�.�� ���>�. � ��- � �'70 <br /> Owner Gtvlail Address Ciry State2ip Phone <br /> Tenant � Mail Address City State2ip Phone <br /> L= V����ID �(a �3�c•>� L=c��>�� G� l�n��� l.�v�i t(.� ���-<;� r _.X,r�i -?. � l r <br /> Electri al Conlractor Mail Address City State2ip. Phone <br /> ��Y�. /�( /v � s �ti z � j� � I ����. ;�-� <br /> State License Number Contract Price of Work <br /> f�' ?� � ' �/' <br /> Proposb Use of 8uildinn Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: ��� L i'- i/ � l"1` �� �'� �YI�' ��., c^YI _ _ <br /> fy_/- � <br /> i <br /> 1 � �'� /` r f-�- � <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 STATF <br /> APPROVED PLANS BEFORE C�TY OF EVERETT PEFMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWCD BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COAIMUNICATICNS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUPJTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. 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(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY THAT/ HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF NJORK WILL BE COMPLETED WHETHEF SPECIFIEO HEREIN OF <br /> NOT, THE 3R,ANTING OF.4 PERMIT�OES NOT PRESUME TO GIVE AfITHORITV TO V/OLATE OR CANCEL THE PROVISIONS OFANY OTHEF <br /> STATE OR LOCAL LiW REGULATING GONSTRUCTION OR THE PEAFORMANCE OF CONSTFUCT/ON. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PcRFORM THE WORK FOR WHICH APPLIC.iT10N IS MADE ANO : COMPLY WITH THC STATE <br /> CONTRACTORS LAW 78.27 ACW AND 296.200 WAC. - <br /> � �i' / � �"C'� � �. CS �� FEF_ 1 L� � � <br /> / � < ' •,{c_� ( �.P • � <br /> " Sic�nature , Dato <br /> ELECAP(REV 8/2001) ,�(�` a(0 � � C�� <br />