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� <br />�' <br />ELECT �ICAL PERMIT AF��'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />A'� �l I�.S�X F 1� L� <br />��+� � '�',�r�.•.A� <br />PROJECT ADDRESS <br />ti�� F�,.,��k 3� �E�Ao�,.;r��� ��(�-2�.�n wa sz3� r z.�3.� <br />Owner Mail Address Ciry StetefZip Phone <br />Te�e�t � Mall Address City Steta2ip Phone <br />�� � � <br />Electrical Contractor <br />State License Number <br />Mail Address <br />City Stete/Zip Phone <br />� �,��a� <br />Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of W ork to Be Done: ,Z]VS"� (_ Z, � r�(2 C� 1� �(�'� <br />�'�N c�z�S i n.1� <br />NOTE: PLANS FOR ELEC'iRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS A�L'ST SHOW THE STATE <br />APPAOVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLAN� 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 M;NIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />E�VIRONMENTAL AND OTNER CONTROL RECEPTACLES AND OTH�R 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 />! HEREBY CERTIFY THAT I HAVE READ AND EXAM1fINED THIS APPLICATIGN AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PAOVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO l'IOL4TE OR CANCEL THE PROVISIONS OF ANY OTNER <br />STAi'E OR COCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT I AM AUTHORIZED BY THE <br />OWNER OF T�iIS PROPERiY TO PERFORM THE WOFK FOR WHICH APPLICA; iON IS �4ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br />.,�y� �a,�� o �ew <br />ELECAP(REV&200t) E �a..UJ-0(pq <br />FEE <br />