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�LECZ ,ZICAL PERMIT AP. LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAK 425-257-8857 <br />� �' 2 �{ � vYv�rt�,�. W <br />ADDRESS <br />Owner ' <br />7 <br />Tenant <br />S "� v � �, � �a r <br />Mail Address <br />L <br />Mail Address <br />� � <br />�L C <br />City <br />City <br />(_ o�-� s��t iyz 3 d��tffwoo� �� <br />Eleclrical Contraclor A7ail Address City <br />�� �-�sz rxzz-� c� <br />Slale License Number <br />� t � �i � ' <br />Proposed Use of Building <br />Description of Work to Be Done: I 1a f t p �� �, ,` f-� <br />Z3o v o�-� f � <br />Y � <br />�c3ao�-O`(`'Z <br />Slate2ip <br />State2ip Z � G � 3 <br />C SY�. 'I ��C . W N 1 � <br />Phane <br />ILS— <br />� � ate2ip ' Phone <br />�, <br />p4d <br />Contract Price of Work <br />Contact Person (Plan Review) <br />c <br />V C C_ � <br />6q � <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 W ILL 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 />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 HEAEBY CERTlFV THAT / HAVE A[AD .:ND EXAAfINED THIS APPLICATlON AND KNOW THE SAMe TO 6E TRUE AND CORRECT. ALL <br />PFOVISIONS OF LA WS AND ORDINANCES GOVERN/NG THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFlED HEREIN OR <br />NOT, THE GRANTING CF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOVIS10NS OF ANY OTHcR <br />STA7E OR LOCAL LAW REGULAT/NG CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL/CATION IS MAOE ANO I COM1iPLY WITH THE STATE <br />CONTRACTORS LiW 18.27 FCW AND 296.200 WAC. <br />Signatura <br />ELECAP�REV B12001) <br />y 0 �� <br />Date <br />dL FEE�-37a� <br />�CO o"�IC�-C�3 `f <br />