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ELECT� �ICAL PERMIT AP. LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAf{ STRFET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �v�/��7 C�.:a/.. �r/ �� <br /> PROJECT ADDRESS <br /> ���; d 1�� ;� _�ozy z�s � S-� S� ��, I�o/l („�A- 9eozi <br /> Owner N,ell Addrass Ciry State2lp Phone <br /> Tenant Mail Address Ciry Sta1e21p Phone <br /> Electrical Conlractor Meil Address Li•7 State/Zlp Phone <br /> State License Number Contract Price of Work <br /> Praposed Use of Building Contact Person (Plen Review) <br /> DescripGon oI Work ro Be Done: n��+ �:� �.�.,e.�-,�,, ��,Se �-�r w„d.zrn rowu d. now cW <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDU��ATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PIANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WIIL BE REVIEWED 9Y THIS OFFICE. <br /> NOTE: WIRING IN NON•DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, 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 /> ENVIRON�AENTAL AND OTHER CONTROL FiECEPTACLES AN!' OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OFi ALONG ACCESSIBIE ROUTES OF TRP.`�EL 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 /> 1 HEREBY CERTIFY 7HAT I HAVE FEAD AND EXAMINED THIS APPLICATIUN AND HNOW THE SA�F TO BE TpUE AND CORRECT. ALL <br /> PROVISIONS JF 111 WS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE CO!;�LETED Wr;�THEA SPECIFIED HEFEIN OR <br /> NOt, THE GRANrING OF A PEAM/T DOES A'OT PRESUME 70 G.'VE AUTHORITY TC VICL4TE i7R CANCEL TME PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTFUCTION OR THE PERFOFMANCE OF CONS7,qUCT10N. THA7 I AM AUTHORIZED BY THE <br /> OWNER OF iHIS PROPEFTY TO PERFCFM THE WOFK FOR WHICH APPUCATION IS MADE AND 1 COMPLY IYITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ��.����%��..� /��a�c a FEE <br /> Signature � Date FO�yI- �Z � <br /> ELECAP(REV 9�200q <br />