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ELE('TRICAL PERMIT Q �PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, VUA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �/�l // G C.,E/v �.c� o e ,fl j�-,1 l <br /> PROJECT ADDRESS <br /> R�t�t� �i.v�,E ro,v f r <br /> OWner Mail Address City State2ip Phone <br /> Tenant � Mail Address <br /> Cily StatelLip Phone <br /> � � c� �i�,�Y ��CTK�C c�a �n� L <br /> Electrical CoMractor Mail Address Ciry StatelLip Phone <br /> M c [� �N,� a o 3 �v �1' <br /> State License Number Contract Price af Work <br /> S �'� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description al Work to Be Done: �� �D Q ��.. (�O r'��/j7 dD <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVEREfT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS 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 ROUI'ES 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 1 HAVE RE4D AND EXAMINED THIS APPLICATION AND KNCW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF L7 WS AND ORDlNANCES GOVERNING THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED NEREIN OR <br /> NOT. THE GRANT/NG OF A PEAMIT DOES NOT PqESUlv1E TO GIVE AUTHORITY TO VIOL:I TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL G7W RC-GULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THqT 1 AM AUTHORIZED HY THE <br /> OWNER OF rHIS PROPERTY TO PERFORM TNE WORK FOR LVHICH APPLICATION !S MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTOAS L7W 78.27 FCW AND 29G.200 WAC. <br /> � � � �'t� �7 ' � " 0� FEE � OU <br /> Si �ature Date ��^ <br /> ELECAP�REV BI2001) E oa�a-oz� <br />