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ELE��TRICAL PERMIT Q�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> PROJECT ADDRESS <br /> � f+��� �i�.�a,� ���lG1 !i�.L�a!/� �+J2� '�/r�'oZv `� - <br /> Owner Mail ddress Ciry Stata/Zip Phone <br /> /.� �7 / v3-S <br /> '.,����a,�/, ti�l n� /,��,0 7g25 /./ ..�,vi 1��� lC a�' � iiP., !�/.✓ix �i,�'.7.✓/ 3«. 4�/H� <br /> Tenant � Mail Address City Stale2ip Phone <br /> Electrical Contractor Maii Address City State2ip Phone <br /> � ti 8a� 3 <br /> �� � 91� i r,�„ , � �?,� �✓c ,��/ �✓j�s c .y��s 3s3 s<�v� <br /> _t• ut Y' P �� <br /> State License Number �T � Contra�t Price of Work <br /> � ,��13, - <br /> Proposed Use of Building Contact Person (Plan Review) <br /> . � <br /> Description of Work to oe Done: <br /> 20��-d05� <br /> NOTE: PLANS FOR ELE'CTRICAL WORI< AT EDUCATIONAL, FACILITIES UTILIZING STATE UNDS MUST BE <br /> APPROVED BY THE STA7E OF WASHItVGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPRCVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONA� FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC C.4BLE. <br /> HANDICAPPED ACCESSIBILIT'f: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTAClES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL E3E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIFiONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EGUIPMENT WITHIN <br /> ACCESSI3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I IiERE9Y CERT/FY Ti1AT I HAVE READ AND EXAMINED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISlUNS OF LA WS AND ORDINANCES GOVERNING TH/S TY?E GF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PFOVISIONS OF ANY OTHEA <br /> STATE OF COCAL L:7W AEGUL4T/NG CONSTRUCT/ON OR THE PEAFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOFM THE WORK FOR WHICH APPL(CAT/ON IS MP.DE AND I COMPLY WITH THE STATE <br /> CONTRACTOAS L4W 7B27 RCW AND 296.200 WAC. <br /> �� �� � FEE <br /> ,,: � i„�f� � ��' �S <br /> Sfgnature Oate <br /> ELECAP�REV2R001) �j� !/ ^/��� <br /> �ii / <br />