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ELECT�:ICAL PERMIT APC�:ICATION � <br /> CITY OF EVEf�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �r�� � �l.r�R, � r)� ��1� <br /> PROJECTADDRESS . �II �WRI�R �� . y�'S � <br /> M1�na�n� i �l � �LTCWi���.V15 �VE(Z�1'I W� q��l''� �J7'�CL�'.� <br /> , �„ � <br /> Owner Mail Address City State2ip Phone <br /> �►am�. �s c���fli�e <br /> Tenanl � Mail Address City State2ip Phone <br /> ������ � <br /> Electrical COntraCtor Mail Address City State2ip Phone <br /> State License Number Contract Price of Work <br /> S� � � Ou�N�� � <br /> Proposed Use of Building Contact Person (Plan �eview) <br /> Descriptior of W ork to Be Done: ��I�i O 1� C)C l' � I / 1�h�l 1� <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 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: WIRING IN NON-DWELLINGS IS RE4UIRED 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 CON7ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 1 HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND OADINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> SrATE OR LOCAL WW FEGUf.ATING CONSTRUCT/ON OF THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF 7H/5 PFOPEATY TO PERFORM THE WOFK FOR WH/CH APPLlCATION IS MADE AND I COMPLY WITH THE S7ATE <br /> CONTRACTORS LAW 1827 ACW AND 296.200 WAC. <br /> ���L,[.G l"i��-:%� �l'1 �ix,[ 1.CiJ I�l L�� FEE —��°�— <br /> Signature Date <br /> ELECAP(REVB/200�) C�J� '(JSU <br />