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t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-3810 - FAX 425•257-8857 <br /> 2�0 � ��(cr�o�E �rUc,vu� <br /> PROJECT ADDRESS <br /> t�cri/c%r�5 Exc����9 0-� lLus/u<<���� 260� /,�/���.e� /jve. ��icf1 Gt>ri �87p1 <br /> OWner MailAdtlress Cily State2ip � Phone <br /> ���/'��� /-��5 �wA�F(�- <br /> Tenan� MailAdtlress City SlalelZip Phone <br /> �s ��E�Tt�zrcfa� �o,viwic�e,�s�c 9S►as-lane .1�.,U SE�N/e cv�- 9�103 <br /> ElecUiCalContractor MailAtltlrass � City Stale2ip Phone <br /> L-rG. -�-� EKSLL�f,� 033RG � 3�{ ,65D `= <br /> State License Number Conlract Price of Work <br /> C ONI M ERC t A L G'F�lC ES <br /> Pmposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �f�r�1t�cY�/ E�/ �oL�cj ��j � S . �� c S�C�C� — <br /> Le����/�G�u�-r% /}�1/�/�C . <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVEJ 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 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�1 E 4 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECi. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORN WILL 8E COMPLETEO WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 1HE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORRED BY 7HE OWNER OF <br /> THIS PROPER7Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONiRACTORS U1 W iH.27 <br /> RCW AND 296100 WAC. <br /> ==L i`��` _ 3�c` �i /�/G./C3 FEE �/ p � <br /> � R�ilalure Dato �i � f <br /> / <br /> ELECAP�REV 8:2W 7) <br /> / � '"? �� <br /> � '���� . .� 7 <br />