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ELEC�ICAL PERMIT AF�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /i <br /> /�, �.i /`�r� /ql� /l.c <br /> PROJECT ADDR SS <br /> .. <br /> '�/�. �� <br /> Owner Mail Address Ciry State2lp Phone <br /> Tenant � Mail Address .7�i'h� City State2ip ��� ��hone� ^✓� <br /> / � �. .7 <br /> C,..-f.�, L' �cc �,�c_ �iCn/ 7s•w �f,„„„ds YlA_ 9�o z( ao6 azsr srvG <br /> Eiectrical Contractor Mail Address City State/Zip Phone <br /> � �, � 7� /_= �{' 3 S"�O � vf ��aa <br /> State License Numter Contract Price of W ork <br /> � <br /> i /- i i L �-'' _ <br /> Proposed Use of Building Conta Person (Plan Review) <br /> Descriplion of Work lo Be Done: /; ';r c S,�ro �c �A •, .; �y ��— � — p�� +iM� <br /> r <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 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 BYTHIS OFFICE. <br /> NOTE: WIRING I� 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 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 HEREHY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLlCATION AND KNOW THE SAME TO BE TAUE AND CORRECL ALL <br /> PFOVISIONS OF L7WS AND ORDINANCES GOVERNING 7HIS TYPE OF WORK bVILL BE COMPLElED WHETHEA SPECIFIED HEAEIN OF <br /> NOT, 7HE GFANTING OF A FEFhfIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLiTE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OF LCCAL 47W FEGUUITING CONSTFUCTfON OA tHE PEFFOFMA�'CE OF CONSTFUCTION. THAT I Ahf AUTHORlZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE ANO 1 COMPLY WITH THE STATE <br /> CONrFACTOFS G1W 78.27 FCW AND 296.200 WAC. <br /> /'' FEE ��50� <br /> _ ,�' %�- -�� �+ -i s- — - <br /> Signature Oete <br /> ELECAP(REV82001) �OQ\�O �CJ� ( <br />