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� <br />`� <br />ELEC�'�ICAL PiERMIT AP�"LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/�i � / 1 �P (�i'.�;�� / ��, X/ � <br />PROJECT ADDRESS <br />� li/�/-/ �'L'; ('/ — <br />Owner <br />� _ <br />Tenant <br />Mail Addrass <br />Mail Address <br />Ciry <br />City <br />SlatelLip <br />StatelLip <br />Phone <br />Phone <br />/.�� ) L7✓/�Lit/ /lLi,�i/'�Y l /l `� /�flT �(/�%1�1T% �('/vr /���0/ �/,1� -��:���Jy� <br />Electncal-Conlr� Mail Addmcc City Stale2ip Phone <br />��-5 /.�!�/' ✓ //% ���1< j� �. � — <br />'State License Number Contract Price of Work <br />,5- �--7 <br />Proposed Use of Building <br />/1r �Gr rtiri,�: <br />Contact Person (Plan Review) <br />') �, <br />Description ol Work to Be Done: �IT^/✓�l l r ii�-S! (>!.% ' � r7 C�/!1 T'G' /1- ,7G L'- �,^r- � <br />/ � /� <br />i(iG�� /�Ll / l'� l�= � L/ �l/i�(�C �v��� J_�'�.�---f'L � f-..f�fvf <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS MUST BE <br />APPROVED OY 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 PL/1NS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLF 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 />ACCESSIRLE SPACES OR ALONG ACCESSIBLE ROUTES �F 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 />I HEREBY CERTIFV THAT I HAVE FEAD AND <br />. ...... ___....... . ..�....,..� ,....,.....,,,�,.,� <br />STATE OR LOCAL LiW REGULAT/NG CONSTqUCT10N OR THE PERFOF6 <br />OWNER GF iHIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />CONTRACTOfiS L4W 78.27 RCW AND 296.200 WAC. <br />Signamre <br />ELECAP(REV B12001) <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />K WILL BE COMPLETED WHETHER SPECIFIEO HEREIN OR <br />' TO VIOLATE OR CANCEL THE PqOVIS10NS OF ANY OTHER <br />CE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />'PLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br />i <br />�6��,� - °3 � <br />`� � �� ;� -�� �< < <br />�_ _ <br />Dele <br />FEE <br />