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ELECT�ICAL ��RM!'T AP' � LICAT'IO�V <br />CIT'f OF EVERETT PERMIT SERVICES � <br />3200 CEDAR STRE[T, EVERETT, WA 98201 <br />425-25?-8A10 - FAX 425-257-8857 <br />7f�'i� , s5�� �,�� Y �J,v� <br />PROJECT ADDRESS <br />Owner <br />//%��/r�f/ / <br />Tenant <br />1.1ai1 Address <br />Meil Aadr3ss <br />Ciry <br />Ci�y <br />State/Zip <br />State2ip <br />Phona <br />Phone <br />EleCtrical Conlraclor Mail Atltlress Ciry Staterip Phone <br />State License Number <br />Propased Use of Buildir� <br />Descrip;ion af Work lo Be Done: <br />Contract Price of Work <br />Contacl Person (Plen Review) <br />f�. <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST B� <br />APPRO`lED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS �1UST SHOV�' THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETI' PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES ANO ALL HEALTFi CARE FP.CILITIES PLANS WILL BE REVIEWED 6Y THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWP.YS, MC OH AC CABLE. <br />HANDICAPPED ACCESSIBILITY: FLECTHICAL AND COMMUNICATIONS SYSTEM REG�PTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES UR ALONG ACCESSIBLE RGUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHEF CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIFJLE SPACES OR Af.ONG AGCESSIBLE ROUTES 0� TRAVEL SHALL BE MOUNTEU WITHIN THE REACH <br />RANGES OF �VAC 51-20 SEC. 3106(b)3 E 8 F AND NOT LESS THAN 36 INCHES ABCVE THE FLOOR. <br />I HEREBY CERTIFY 7HAT 1 HAVE AEAD ANO EXAhIINED ThIS �PPLICATION AND KNOW THE SAAfE TO BE TRUE AND COARECT. ALL <br />PROVISIONS OF LAWS AND ORDUTANCES GOVEHNI,NG THIS TYFE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />N07, THE GRANTiNG OF A PEAMI r OOES NOT PRESUME TO GIVE AUTHO'Ci �Y TU VIOLATE OR CANCEL THE PROVISIONS OF /.,VY OTHEF <br />STATE OR LOCAL L4W ReGULATING CONSTRUCT/ON OR THE PE.9FORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PHOPERTY TO PERFOFh1 rHE WOA1C FOF WHICH APPLICA710N IS MADE AND 1 COMPLv WITH THE STATE <br />CONTRACTOF3LAW ifl27FClYFND293.200WAC. <br />�� �27F o � � <br />Signature �a1e <br />ELECAP�FEV &200q <br />FEE <br />