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ELEC ICAL PERMIT AI�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ���>�� ,���A� �•� �/ ��� ,Z�,�9 <br /> PROJECT ADDRESS � �a _��,i���jQ �/✓/� � /1(p7 <br /> �,a�� `/��IKS S 6o E , ��//-1 8!S� J <br /> Wn�r//// 5���� MailAddress City Slate/Zip Phone <br /> /'� !`'E <br /> -MA�7NE-� /���-PJ�O/9�7�� �6��P-- G� <br /> TeneM � Mail Address Cily StatelZip Phone <br /> EleCtriCal Contractor Mail Address City State2ip� Phone <br /> State License Num6er Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: ��( ��/`"]�.��y�i '— �������� <br /> �a��,�r�--T.�S ��) iv2 �� ���,�i, (i� <br /> ` �,L r��s�. /1"�,el/�2 . <br /> � 2 - 2oQ�4 <br /> NOTE: PLANS FOR EL'cCTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 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 A�ONG 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 DE 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 /> 1 HEREBY CEATIFY THAT I HAVE READ AfJD EXAAIINED THIS APPL(CATION AND KNOW THE SAME TO BE TqUE AND CORFECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NO i, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W REGULAT/NG CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PAOPERTY TO PERFORM E WORK FOR WHICH APPLlCATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L4W 78.27 FCW AN 96.200 <br /> �/�/� .� <br /> FEE ///� <br /> (/ <br /> Signature Dete <br /> ELECAP�REV82001) ��'ZGS ��� <br />