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ELEC �RICAL PERMIT A! PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 433Z �o�CST � Eve�t�r <br /> ,�'R\OJECT A�DRESS y iS <br /> vc� AMPI �133'Z Fo�EST 1�� �vc-�L=T1 LU14 �Szo3 zSg G4� <br /> Owner Mail Address City State2ip phone <br /> �A� <br /> Tenant � Mail Address Ciry State2ip phone <br /> �N�� <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> �' F� ,1Z <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �Q(� �� AM l� SV(� �A��� Z� <br /> S�,�r�o,�-�- c o� Sa- �T A p D�T �o� da1 f� <br /> w � ,�r /� n P, T�o� � ' acx� �� � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FF.CILITIES UTILIZING S i ATE 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 296-4E-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 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 OPERABLE 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 /> I HEREBY CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PRGVIS/ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEfl SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO Ca1VE AUTHORITY TO V/OL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTRUCT/ON OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPE TY TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOftS LAW iB.27 CW AND 296100 WAC. <br /> � ff 2L o FEE v � �O <br /> 5 <br /> Signature Date <br /> ELECAP�REVBi2001) � Q h I1 � I ��y <br /> O� \ ��� <br />