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ELE�� �RICAL �ERMIT Ai" �LIC�4TION <br />G C l l- i s� �'� <br />PROJECT ADDRESS <br />CO�r� Gr2�% <br />Ovmer <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />V� w <br />U ��S �1 C U <br />Mail Atldress <br />� <br />l, , , ,,/ 1 . <br />City <br />?�'�+ /''- ` / <br />�� _ <br />Tenant Mail Address City <br />T N7" �lec:�`ri� T/1�L IS)o6 Ivlo��r <br />Electrical CoNractor Mail Address An-j�,'� C�; 5(c City <br />`I�NT r_ � i-p- o5s� �- A <br />State LicensE Number <br />N� P y <br />Praposed Use of Building <br />i <br />Descrioti�n of Wark to Be Doi 1V ��"� .5 L�'<- � <br />� i �^. <br />State2ip <br />� <br />;%C�G �, <br />State.2ip <br />W`�5� �5;; <br />State2ip <br />/O S p �� <br />Contract Price ot W ork <br />�I <br />_: jG� . -- <br />Phone <br />i <br />Phone <br />;t� -l(,o liS <br />Phone <br />Contact Person (Plan Revie�.v) <br />NOTE: PIANS FOR ELECTRICAL 1h'ORK AT EDUCATIONAL, FACILITIeS UTILIZING STATE FUNDS 1�UST 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 />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DWELLINGS �S REQUIRED TO BE IN RACEWAYS, MC OR ,4C 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 MINIMUP� <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITH!N <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 FLOOP. <br />1 HERE9Y CERiIFY THA7 � HAVE RE4D ,4ND EXAMlNED THIS A?°LICATICN AND KNCW THE SAME TO BE TRUE AND COFRECT ALL <br />PFOVISIONS OF LiWS AND ORDINANCES GOVEANING THIS TYPE OF �YORK bN1LL BE C061PLETED 'NHETHER SPECIFIED HEREIN OFi <br />NOT, THE GRANTING OF A PEFh11T DOES NOT FRESUh}E TO GNE:t U7HOFl rY TO VIOL7TE OF CANCR THE PROVISIONS OF.iNY OTHER <br />STA7e OR LCCAL L;1W FEC-ULATING CONSTFUCTION OR TNE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHOAIZED BY TNE <br />OWNER OF THIS PROPERiY TO PEFFORM THE WOAK FOR WHICH APPLICA710N IS MADE AND 1 COMPLY V✓ITH THE STATc <br />CON7RAC70RS LAW 182: FCW AND 296200 WAC. - <br />,i <br />� .� � _'.i�. <br />Signature <br />ELECAP�RE'/ &27Jt) <br />�, - c� c� .. c� a- <br />Date <br />