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� <br />`� <br />ELECT'�ICAL PERMIT AP; LICATION <br />CITY OF EVERETT PERMIT SERV�CES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��/ �[ � c L�L72�i�f£.t..� lU�-�i <br />PROJE/CT ADDRESS <br />CY'%il��t% �i;,G� �%! 3. �Jr',!/�! <br />Owner <br />�`.�r''%1 f_ <br />Tenant <br />� � � % f _ li. <br />Mail Address <br />City <br />Cily <br />`" �/,:�/1�e. .�-> :r�� 3� <br />Electrical Contracto[ Mail Addross pi�y <br />,�-.�iT�� :Cf %3��� � � � � <br />State License Number <br />� �'�,�i <br />✓��f�c�= «,,�!ti; ��c���r��S ��� <br />Proposed Use oF Building <br />Description of Work to Be Done: <br />: <br />/ i/ <br />��r � <br />State2ip <br />�J�'�� �:��j� <br />.�t.� �i.�uc 0�}c��,L <br />��..�•5 3��- - �7ct� <br />Phone <br />cc <br />�f,.�, GC/y �'�.�a � <br />State2ip Phone <br />, `�` �.iC''O r"� <br />�� � Contract Pnce of Work — <br />�.SS f�s Sl%' L �--5�� <br />Contact Person tPIaF�F1eVIBw) <br />�C.�G 1i7, <br />,vf�<<;.— <br />•t' <br />�e''YLe f'�/Si �.l <br />��� %n2a �J <br />�-;�/� ,t-� �� �� <br />��il���� ��� � <br />NOTE: PLANS FOFi ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE SiATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT INILL 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: �NIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL �ND 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 VJITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FEACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TAUE AND CORAECT. ALL <br />PFOV/SIONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK VYILL BE COMPLETED WHETHER SPECIFIED NEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TD VIOLATE OR CANCEL THE PROVISfONS OFANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSrIaUCT/ON OR THE PEflFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T'iE <br />OWNER OF THIS PFOPERIY TO PERFOAM THE V.�RK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STn,E <br />CONTR4CTORS LAW 18.27 RCW AND 296200 WAC. J L�� �-� - � <br />L � � /.3� <br />( ���.�:.C.l c.�%l(` <br />Signalura <br />ELECAP�REV 82001) <br />Oate <br />FEE <br />