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ELECTRICRL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Iy�Z SE E�erelt Mall W�a� � lo� <br />PROJECTADDRES <br />Bet1 1��'i � Q.Q , �e � <br />OWner Mail Address City <br />Tenant <br />Mail Address <br />iI�S Vis�a� <br />�Jw 1 N� So� 3L�- <br />S!ate License Number <br />�-�i � <br />Proposed Use of Building <br />Description of Work lo Be Done: <br />' I 3/y" x <br />WoZ S <br />Ci�y <br />State/Zip Phone <br />�,( Wa �, <br />Slale/Zip � Phone <br />`1�13�f �Zob�Zq2-���5 <br />� 300 <br />ConUacl Pnce o( Work <br />d�z '�:�,kv�c.�l � � °c� <br />Conlact Person (Plan Review) <br />�C�.( -fi�r -Ivw C <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 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 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 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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAT.�ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WNETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATF. <br />OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR2ED BY THE O WNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADEANO I COMPLYWITH THE STATE CONTRACTORS LA W 18.27 <br />RCW AND 296.700 WAC. <br />' a.,tal� ��� �i � ' , I <br />SignaNre <br />ELECAP�REV BI2001 � <br />Date <br />� �O <br />FEE � <br />�.=(�30��Drv— fl <br />