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ELECT'�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 /> � � 1 `� `� �C�� IUIa�tX. �°"X (30���01 `� <br /> PRO�CT ADDRHSS�L�4`�� <br /> %t \R-� � <br /> Own�er �� Mail Address City Stete2ip Phone <br /> (��XXk./� 4J'U�.Qt,be�-u^ s {��T`L Zq�`� g►'�-�ndlW(k�r W� NLs- Zs8-ZBoo <br /> Tenanl � Meil Address City StatdZip Phone <br /> ,�� R1l.v�„n �. (P,.-�vu:� <br /> Electrical Contractor Mail Address Ciry State/Zfp Phone <br /> 3900 � <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> De::riptlon ol Wark to Be Done: /� � '—��K.�' ' J �,�J"(.i�C �-2� <br /> � <br /> .�t /t-atJe s <br /> NOTE: P:AtJS 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 BTATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL nTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFIC�. <br /> NOTE: WIRING IN NON-DWELLINGS IS RFQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SFACES 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THc` REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NGT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CEATfFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVfS10NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL Bc COMPLETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GR.iNTING OF.4 PERMIT DOES NOT PRESUhfE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTlUN OR 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLIC.4TION IS MADE AND I COMPLY W1TH THE STATE <br /> OONTRACTORS L4lY 7&27 FiCW AND 296.200 WAC. <br /> � �� � ( �a z FEE <br /> SlgnaWre � �ate <br /> � o z.pi-ay ! <br /> ELECAP(REV 82001� <br />