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ELEC1f;ICAL PERMIT AP �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96207 � <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3s/o /�2��-f�wfi`1 <br /> PRUJECT ADDHESS <br /> 7on� S!!U� S� � 3 CCr1-72�1t� Eu=�'�:�'r �2'� 9bzc 3 <br /> Owner Mall Address Ciy StateiZip Pho�e <br /> �8.J /•' 'sQk1Cc:."-7' 3S/o /�?c/1OF✓?J �vc"72eTT �✓f�" `IF.�o� <br /> Tenant Mail Adtlress City Stata2ip Phone <br /> /,�/_�9�� S/(/✓ .5���'UlCc� /�2/7 .�'a'�71e'i[ Ci9t�1 Sc` �23`i /N/LC C/ZG�%z, i w� 9��'�z <br /> Eledrical Conlractor Mail AdorSss Ciry State/Zip �y>r1�3���.��tPhone <br /> 88T5� � � �t9oP� X �°p�. <br /> State License Number Contracl Price ol Work <br /> n�� (--a�,.,�- <br /> Proposed Use ol Building Conlacl Person (Pian Review) <br /> Description of W ork to Be Done� ^�-��ti i� � �"��t <br /> NOTE: PLANS FOR ELECTRICAI WORK AT EDUCATIONAL FACILITIES UTILIZI�G STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICAN"iS WITH SUCH JOBS MUST SNOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-4fi-140. ALL OTHER <br /> EDUCATIC'�AL FACILIT�ES AND ALL HEALTH CARE FACILIT{ES PLANS WILL BE REVIEWED Bl'THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: EL�CTRICAL AND �pMMUNICATIONS SYSTEM RECEPTACL�S ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTE'� A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRON�dENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 1NITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SIi.ALL BE MOUNTED WITHIN THE R�AC4 <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCFIES ABOVE THE FLOOR. <br /> I HERE6Y CERTIFY THAT 1 HAVE READ AND EAAMINED TNIS APPLILATION AND I,NOW THE SAME TO BE TRUE AND CORFECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH15 TYPE OF WORK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF�NY OTHER <br /> OWNER OF�THAS PROPERTY TO PERFORMUTHE�WORKrFOREWH�CH APPLICATONSSRMADE ANDHI COMPLY WI�H/THE STATE <br /> CONTqACTORS L4W 7827 RCW AND 296200 WAC. <br /> J� _ �0/ls�a/ FEE <br /> Signature Date <br /> ELECAP�REV B�200t) ���I I � L�( 1 <br />