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1 <br /> ELECTRICAL P�RMIT AF�r�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �3 �0 � <br /> tP� L� C�-0.����-�F -T���a ; r (�53- 3�� � <br /> PROJECT ADDRE S <br /> ��A � N l�- .0 � q �oq �l'l I I � <br /> � �� E o��n�5 � � a�'�!��;� ,G U.� �- � �c�17 � <br /> OWnef MailAddress City State/Zip Phone <br /> S c�.�,�.c� <br /> Tenant � Mail Address Ciry StatelZip Phone <br /> \� Cti�1�� <br /> Electncal Contractor Mad Address Ciry State2ip Phone <br /> State License Number Contract Prica af Work <br /> 4-�\I�,� �O � 1 � �f� ` > R- 1\ <br /> Proposed Use of B ding ° Contact Person (Plan Review) <br /> Description of Work to Be Done: _ ��\n,` _ n�� � �("'� <br /> � <br /> NOTE: PLANS FOR ELECTRICAL b1'ORK 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 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 FLOOH. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIP6IENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COARECT. ALL <br /> PAOVISIONS OF LA WS AND OADINANCES fiOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR�OCAL UW REGULATING CONSTFUCT/ON OR THE PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PEFFORM THE WOAK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> .�— 31_c•� <br /> � c�,u �`1(�l l. �- � ���_ FEE .�f3,�Uv-- <br /> Signature Dale <br /> ELECAP�RE4B/20U1) COp2O,s ' IOc I <br />