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APPLICd � ION FOR ELECTRICA� PERMIT <br />CITY OF EVEREIT <br />BUILDING DIVIS/ON <br />3200 CEDAR STREEl <br />EVERETT, WA 98101 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />17 ll �� !� e. vC ✓�� l� ���i�l 'I s � 03 <br />PROJECT ADDRESS <br />oJ3��e�� ���� s���1�� <br />Owner <br />Tenanl <br />Mail Address <br />Mail Addr_ss <br />City <br />Cily <br />Siate2ip <br />State2ip <br />Phone <br />Phone <br />n�4J hl L' R SU h�v1 <br />Electrical Contraclor Mail Atldress City State2ip Phone <br />1V f,) ��i h" <br />State License Number <br />�✓ P <br />Propo d Use of uilding <br />Description ol Work lo Be Done: �;� /� j� d- l�n �t.- ii ff/r f1 <br />Contract Price ;t Work <br />Contact Person (Pla� Review) <br />NOTF� FLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILIiIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STA7E 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 OH AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RCUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AP1D 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)d E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFEBY CERT/FY TNAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOIh' THE SAM1IE TO BE TRUE AND COFFECL ALL <br />PFOVIS:ONS OF U1WS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL 9E COM1iPLETED WHETHEH SPECIFIED HEFEIN OR <br />NOt, THE uF.iNTING OFA PEFMIT DOES NOT PRESUhfE TO GIVE AUTHORI7Y TO VIOLITE OF CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR I..;CAL LAW AEGUL7TING CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br />OWNER CF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPL(CATICN IS MADE AND I COM1IPLY WITH THE STATE <br />CONTRAC i CFS LiW 18.27 RCW AND 29ti.200 WAC. <br />C%�j�lcw <br />SiGnature <br />ELECAP(REV 998� <br />Dale <br />� ot oa -03� <br />FEE <br />