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ELEC�RICAL PERMIT Ai' �LICATIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � � �Jd �� J.3� �fVr. w. <br /> PROJECT ADDRESS <br /> � . <br /> �/'.�ctir ���'7 Y ^p�^i� c{ <br /> OWner Mail Address City State2ip Phone <br /> Tenant - Mad Address s � J City State2ip Phone <br /> , � <br /> / <br /> /Uo �'�r,--� /� �,r.f-t G°�C'. C) ,}'� /Q,,, r✓� �•�'n���n !�✓A 9y,�o1,3 36oGs� Fr',s7�' <br /> a <br /> Electrical CoNractor Mail Address City State2ip phnne <br /> I��u/'�/L' o y�/�7/"c <br /> State License Number Contrect Price ol Work <br /> Proposed Use of Building Contact Person (Plan Fleview) <br /> Description af Wark to Be Done: (�� r Y- C��/o%' � O C7 ��„�, / <br /> G:/rr /j�c� <br /> S ��rv�� t <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 PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EGUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS 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 /> ENVIRONMENTAL AND OTHER CON'fROL RECEPTACLES AND OTHER Oi'ERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACC[SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LCSS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT l HAVE READ AND EXAMINED THIS APPLiCAT/ON AND KNOW THE SAME TC BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BF COMPLETED WHETHER SPEClFIED HEAE/N OR <br /> NOT, THc GkANT/NG OF A PEFM1I/T DOES NOT PRESUME TO GIVE AUTHOFITY TO V10:;1 TE OR CANCEL THF PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW AEGUL7TlNG CONSTRUCTION OR THE PERFORMANCE O� CONSTRUCTION. THAT 1 AM11 AUTHORIZED BY THE <br /> OWNER OF TH/S PROPERTY TO PERFOqM THE WOAK FOR WH/CN APPL/CATION IS hfADE AND I COMPLY WITH THE STA7E <br /> CONTRACTORS LAW ifi.27 RCW AND 296.200 bYAC. <br /> ��;���1�—;-<���' J�,�i��cj FEE <br /> p o � — <br /> SignaWre Date <br /> ELECAP(REV Bi2COt� F o303-ia 3 —' <br />