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� s - a� -�s <br /> � <br /> 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 /> ,������� �C�%��'Cf '�l't'. <br /> PROJECT ADDRESS �_ <br /> , y <br /> '" 1-���� ��//1`Ii'���/.'�f ���`T������� ��l L—�.%�� ,'i ��,��.1 �� �i,���"! `�,����..t 1•� l''—�s�._= <br /> OwnCr � Meil Addmss Clty SlelelZip Phooe <br /> -��,1_ �" �Ut�1Dl1a�lU" <br /> � <br /> Tenanl MailAdaress City Staletip Phonc <br /> i � <br /> d� l� �Cli'f1�1 r�Y'lf!'�L 7/Ic ��U'l�� -13��"� J�. ;� V✓ �/� ��1i1i��l��;��Li.7�� �j����;�� <br /> Electrical Conlractor �Mail Address Clty � Sta�c/Zip � �,.�pho��� > ,^ 1'. ' <br /> �'CJ7f-�l '/7 �.•,sjJ�'�j ��'�j'�(.; (; .(� 1>_ <br /> State License Number Contract Pnco ot Work <br /> �"��.'�{�1�� �������/�C�rll-1 <br /> Proposed Uso of Buildi Contact Person (Plan Review) <br /> �� /� <br /> Descriplion ot Work lo Be Done: �F"L i � ���'��� ���'l�� � �l���/��� �'C��� <br /> T-/J�;lr��%'rl1r��1 f , <br /> NOT[: PLANS FOR ELECTRICAL WORK AT EOUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVE-D BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS A4UST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIE-S AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVI[WED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RCQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS BYSTEM RECEPTACLES ON WALLS <br /> WITNIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNT[D 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 rRqVEL SHALL 8E MOUNTED WITIiIN THE R[ACH <br /> R,4NGES OF N'AC 51-20 S[C. 31UG(b)4 [8 F AND NOT L[SS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREOY CERTlFY THAT 1 HAVE READ AND IXAMINEO THIS APPLICATION AND KNOW TNE SAME TO BE T4UE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AN�OROlNANCES GO VERNING THIS iYPE OF LNORH WILL 8E COMPLETED WNETHER SPFCIFIED HEREIN OR NOT, <br />`�-,� TNEGRANTINGOFAPERMITDOESNOTPRESUMETOGIVEAUTHORIlYTOVIOLATEORCANCELTHEPROYISIONSOFANVOTfiERSTAiE <br /> OR LOCAL[AW REGUTAT/NG CONStRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THA71 AM AUTHORIZEO BY THE OWNER OF <br /> i' TNIS PROPER7V TO PERFORM THE WORK FOR R'f�ICH APFLICATIOlJlS MADE AN�I COMPLYWITH THE STATE CONTRACTORS LAW 1B.27 <br /> RCW AND 286.200 WAC. <br /> y � . <br /> � � <br /> 6' �<_C /L'{��� ����'�� . :) 'YC; :C/� �� FEE <br /> t�� Signalurc Dato <br /> , � ELECAP(ftEV&2001) <br /> . <br /> C� `��{� !/� , <br />