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, �,..-%�'4Z v <br />ELECTRICAL PERMIT APPLICATION <br />I CITY OF EVERETT PERMIT SERVICES <br />Q� 3200 CEDAR STREET, EVERETT, WA 98201 <br />` � 425-257-8810 - FAX 425-257-8857 <br />� <br />� 1�01 E�J� ��� Qe ►� l,�c�-� <br />PROJECT ADDRESS ` _ . , � , , ,� , <br />Owner <br />Tenant <br />Meil Address <br />Mail Address <br />Eleclrical Contractor Mail Address <br />vLc -� s��a� a _ <br />State License Number <br />��iM <br />an,o�eod l Isw ot Buildino <br />Ciry <br />Ciry <br />,�� `� �� �IaSL�a <br />g�y�e/'pp Phone <br />� �I c�� ��1� (�4�-��i�i J <br />StatelZip � Phone <br />g���/7�p Phone <br />��1, 5 1�� _ <br />Contrect Price of Work <br />� � � <br />Contact Person Plan Raview) <br />NOTE: PLANS FOR ELECTRICAL 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 />EDUCATIONAL FACILBIT ES AND ALL HEALTH CARE FACILITIES PLA S'WILLE E REVIEWED BY THIS OFFI �E.HER <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 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 />RANGESI OF WAC 5E 20 ECLON06(b� E& FI ANDRNOT LE S THN 36LINCHES ABOVOE THE�FLpIpRIN THE REACH <br />f HEREBY CERTIFY THAT 1 HAVE READ AND IXAMINED THIS APPLICAlION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF U1 WS AND ORDINANCES GOVERNING THIS TYPt �F WORK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTFtURI N TO VlOIATE OR CANCEL THE PROV1510NS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED 8Y THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAIY f8.27 <br />RCW AND 296.200 WAC. <br />ELECAP(REV 82001) <br />FEE a�,a �� <br />�� ��b �� � � <br />