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� <br />`� <br />ELECT'�:ICAL PERM�T API�,ICATION <br />. <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��OI Ev�rc� v, (�7 i <br />PROJECT ADDRESS <br />Owner <br />���, n <br />Mail Address <br />n <br />Tenant ✓Vft.J(�-a-ro�Hig�,q�T�ros� <br />�I6 � ! �v�-�- `�� � � v <br />Electrical Co lractor Mail Addres�_ <br />� I� �-'�L�cc ��. �. , i ��/l <br />State License Number <br />LbC- f�� � US-f-� � <br />Proposed Use of Buiiding <br />Description af Work to Be Done: ��- � C! <br />City <br />ciry <br />State2ip <br />S�ate2ip <br />� Phone <br />� �-3�-0�� i <br />� Phona <br />�y <br />'♦�:L.G� a � <br />� State2ip 5��� phone <br />1 <br />S._�'�lllnwr�i ��3�/�^ 5�1 �eL�n <br />ontract rice of Work <br />���� �� I —�10 � . <br />Contact Person (Plan Review) <br />� <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 Y1UST 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 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 OTHER CONTROL RECEPTACLES AND OTHER OPERABLF E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I NAVE FEAD AND EXAMINED THIS APPLICATIOf! AND KNObY THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISlONS OF LAWS AND OROINANCES GOVERN/NG THIS TYPE OF WORK W/LL HE COMPLETED WHETNER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT OOES NOT PFESUME TO GIVE AUTHORITY TO VIOLRTE OR CANCEL THE PqOVISlONS OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PEFFOF.LIANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOFM 7HE WORK FOR WHICH APPLICATION fS MADE AND I COMPLY WITH THE �TiL'�I <br />CONTRACTOFS LAW iB.27 ACW AN0 296.200 WAC. �/� 'V <br />� V <br />/ // '�/�/ ��� .�L� - / f � C1— FEE <br />' ature � Dale <br />ELECAP(REVB/2001) '� �.CZ�'li'f%�09 <br />