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ELECTrm'IICAL PERMIT APrLICATION <br />4 :77 CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 - FAX '25-257-8857 <br />S- i l f i <br />PROJECT ADDRESS <br />r-G t rso� <br />s �S <br />ll S <br />E�uL�rw7/, W I- <br />Nyr^ s i s <br />`t 8 DO � <br />Eyr�N� <br />cd� 48zo <br />Owner <br />Mall Address <br />City <br />State/Zip Phone <br />Tenant <br />head Addross <br />City <br />State/Zlp Phone <br />AM71 yr41//� <br />w,�y�z� �3Gv)G 5)-z/�? <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip Phone <br />P o Lt)C/? C 0!/0� <br />Slate License Number <br />Contract Pnce of Work <br />Proposed Llse of Building Contact Person (Plan Review) <br />Df- ;Ton of Work to Be Done: TGPs ;'ire) r re, / S F-yi/-/ C r <br />„0g 1 n ) <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 />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON -DWELLINGS IS REOUIRED 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 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE HEAD A? <br />PROVISIONS OF LAWS AND ORDINANCES <br />NOT, THE GRANTING OF A PERMIT DOES Ni <br />STATE OR LOCAL LAW REGULATING CON: <br />OWNER OF THIS PROPERTY TO PERFO, <br />CONTRACTORS LAW I 27 CW AND 29B2tT <br />5ignatur <br />ELECAP(AEV N2001) <br />ED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />G THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />fE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />IORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />__IZ� ��� <br />C4 6/ d_�> FEE <br />Date <br />E03DI-D7$ �� <br />