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�LEC�RICAL PERMIT Aa��LICATION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> l//�� �i.�.�v�_ � ,/ <br /> PROJECT ADDRESS <br /> ����4 ,uc,��r—,�% i�i —'c� ��-cn.a`�.< scr�< ; �aPho�ff" k•'A--,�f!<<��r f Gzs)G23.�'G7_r" <br /> Owner Meil Addreas � , � Ciry Stata2ip Plwne <br /> .� <br /> Tenant ' Meil Address Ciry Snta2ip phone <br /> .(/lr l��ne�;c, � �nxsX 9!� 4S� ,-��-� w�IC lL�. ! 8r�c_ )62/_UGgG <br /> ElecMcal Contractor Mail Addreas Ciry Steta?Jp Phone <br /> Stale Licenae Number Contract Price of Work <br /> Proposed Uae of Buildfng C�ntact Person (Plen Review) <br /> Descripdon of Work to Be Done: �v f' C1 <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 /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS "' 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 /> ENVIRONMENTAL AND OTHEi� CONTROL RECEPTACLES AND OTHER OPERABLE EQUlPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3706(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES CaOVERNING THIS 7YPE OF WOHK WILL BE COMPLETED WHE7FIER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERiYfIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUC770N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFiK FOR WHICH APPLICA1:rJN IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> % <br /> � �'J /) <br /> �"'��i}�ck�+�.�C� 2 = l2 _ 0 �j FEE <br /> r <br /> Siyr.ature i Dete <br /> ELECAP�RE4fl2001) � d3aa-os3 <br />