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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 - FAX 425-257-8857 <br />9�2 �! <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />ViQLLE r <br />��OAO�J�Ij <br />Mall Addmsa Ciry <br />Mail Address <br />; c-;�, i�. I 1 I I ►'7 �r <br />Mail Address <br />�� � I VAL��Li �-1 � /� <br />State License Number <br />Jl! �—�/��/ JH�1wi � �—F�" � 1 �»i� <br />Proposed Use of Building <br />of Work to Be Done: <br />G I 1� C.�J t 1 <br />Ciry <br />CR�i�. <br />: nl s; nu.-� r �� tJ <br />SWte/Zip Phone <br />SWIe/Zip Phone <br />CvEr�T,U.1�►- `��d�3 <br />1�� 3� �._ <br />Contract Pnce of Work <br />C N�-� �j,�.���� <br />Conlact Person (Plan Review) <br />o� C�� 3oA- �-�3v <br />Nnono <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, t�ACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY TH[ STATE OF WASHINGTON. APPLICAN"i � N�ITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CIN OF EVERETT PERMIT V�IIL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIEa PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RA^EWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG 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 CER7IFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAiION AND KNOW TFIE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF IALVS AND ORDINANCES ('iOVERNING THIS IYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR Tf IE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR2ED BY THE O WNER OF <br />THIS PROPERTY TO PERFORM TNE WORK FOR WHICH APPLI CATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS U1 W 78.27 <br />RCW AND 296.200 WAC. <br />C/-l��cLeio-a�f1✓— �� ZI — d L� FEE <br />Signature Dale <br />ELECAP(REV fi�2W I) <br />IC 0407-G�Z <br />