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ELEC�iICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 2d�� s, <br /> �2� � �, � a au— r <br /> PRO E T ADDRESS <br /> , �a.,'� ��-�r�a�,scs LxJa <br /> Owner Meil Address City State2lp Phone <br /> Tenant � Mail Address City StatelZip phone <br /> ��1�1,' �EI��;L ��. li�'1 -9r�.�r�e.,(/F ��' �J� 1.J4 �aa3 ��,��e-� <br /> ElecMcal Contracto� Mail Address Ciry State2lp Phone <br /> �/o�t � ��n yy�tJ� <br /> tate License Number Contrect Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: i���pwr/' p�� <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 CITI' OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. P.LL OTHEA <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 AOUTES 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 /> 1 NEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATlON AND KNOW JHE SAME TO BE TRUE AND COFRECL ALL <br /> PROVISIONS OF Li WS AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLETED WHETNEA SPEpFED HEREIN OR <br /> NOT, t HE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLiTE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATt OR LOCAL L4W REGULATIfJG CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WOFK FOR LYHICH APPLICATION IS hfADE AND I COM1IPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 FLW AND 296.200 WAC. <br /> 1J��+ ef.n� (�?it�f�r,� 9-3o-oa FEE <br /> Signature � Date <br /> ELECAP�REVBI2001) E d�o4-IS�-I <br />