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ELE� TRICAL PERMIT �'��PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �909 G�,vwoOD f't �oT�'.3 <br /> PROJECT ADDRESS <br /> ,�t�,�Qia(,�' eoN,rT ,�� ,aox 3oz DuvAt-c_ w�r 9�oi9 zo� 9!y-7y�3 <br /> Owner Mail Address City State2ip Phone <br /> Tenant � Mail Address Ciry StatelZip php�a � <br /> Yvi� i�irviv ��c�/U� c�o iN c._ � <br /> Electncal Contract r Mail Address Cig� Slale/Zip Phone � <br /> MC �IN �� 00 3 NT� i <br /> State License Number Contract Pnce ot Work ( <br /> � <br /> S' F� , <br /> Proposed Use of Bwlding Contact Person (Plan Review) � <br /> i <br /> Description of Work to Be Done: _ �IJ )(�.� �/�'�/ � <br /> S'J^� /^ 200 /�1L1� U(� � <br /> � <br /> i <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 /> APPROVEO 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�UIR[D TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBlLITY: 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 CERTIFY THAT I HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVIS/ONS OF Li WS AND OROINANCES GOVERNfNG THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPEC/FIEO HEREIN OR <br /> NOT, THE CaRANTING OF A PERMIT DOES NOT PAESUME TO GIVE AUTHORITY TO VlOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHEF <br /> STATE OR LOCAL LAW qEGUG1TING CONSTFUCTION OR THE PERFORhfANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNEA OF THIS PROPERTY TO PEFFORM THE WOFiK FOR WHICH 4PPLICAPON IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LAW fA27 RCW AND 296.200 WAC. <br /> i / <br /> � ' l- J 3^ D 3 FEE.��.,5' 00 <br /> Signature Date <br /> ELECAP(REV 8/20p1) <br /> .�i3o� - ��, . <br />