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ELECTI#CAL PERMIT AP <br />CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREFT, EVERETT, WA 98201 <br />425 257-8810 - FAX 425-257-8857 <br />SG01 �S�- 7��, <br />PROJECT ADDRESS <br />LA-Kc��,�0 l-Ic�✓hLs ��c �o (�x 32�5 c=3-Lrec...--r—� �j82v3 yzs-�SG•�7(.7 <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />c�y <br />City <br />State2ip <br />State/Zip <br />Phone <br />Phone <br />Electrical Conlractor Meil Address Cily SlatelZip Phone <br />State License Number <br />S' F�L <br />Proposed Use of Building <br />Descriplion of Work to Be Done: (�l�nP �vC.._,LI� <br />Contract Price of Work <br />�T�vc �...J✓�✓<-8�S �(zs-YsG•—17Gi <br />Contact Person (Plan Review) <br />N.�TE: 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 BEFOHE 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: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESS181LITY: 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 ECUIPMENT WITHIN <br />ACCESSI6�E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WIl HIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F,SI�D NOT LESS THAN 36 INCHES ABOVE THE ;=LOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT. qLL <br />PAOVISIONS OF LA WS AND ORDINANCES GOVEflNING THIS TYPE OF WOqK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br />NOT, THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOL4 TE OF CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZEO BY THE <br />OWNER OF THIS PROPERTY 7�0 PERFORM1t THE WORK FOF WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS L4W 1827 fiCW AND 296200 WAC. <br />ELECAP�REVB2001) <br />--.. �12�D6� <br />FEE <br />