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r <br /> ELEGTRICAL PERMIT APPLICATIO[V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREi"f, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ;� ,�'��� .��r�r,,Rr-�=�I �nl�y {�z�� <br /> PROJECT ADDRESS <br /> Owner MailAddress Ciy StalelZip Phone <br /> P�LCCKP� IS�I�����2C�r �(,��0 CJ (,R -Fnl �t�`I �LZ�1� �����ZC, �'�A 9�2f3 �{Z�`�.'�3J—(���� <br /> Tenant Mail Address Ciry Slale2ip Ptrone <br /> �,�ALL�.�I Ci�t�21 ' �:01 ('Li� I-I�vY��K'( � RI) htTV(RNOtiI l��A �`6273 ?zc0 .�1�Z4 l�c�c;Z <br /> Electrical Contractor Mail Address City State/7Jp Phone <br /> VA� 1=L"I 14 I t�,�A NTE�z�� <br /> Slate License Number Contrect Price of Work <br /> RcTn,�� r=�►=� ��c��, <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �1�i��E (���l�L— I � _ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WP.SHINGTON. 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 WILL BE REVIEWED BY THIS OFFICE. <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 TftAVEL 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 /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL Si1ALL DE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC.3106(b�E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND Y.NOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HERE/N OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT!AM AUTHORIZED BY THE OWNER OF <br /> TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WlTH THE STATE CONTRACTORS LA W iB.27 <br /> RCW AND 296.200 WAC. <br /> (a �,P,��/,�.� ��,�."�r<, . _ l0� I .03 FE� a�-��- ;�.� <br /> Signature � Date <br /> ELECAP(REV 812001) <br /> �cJ�� l �' - �� � <br />