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ELECTRICAL PERMIT APPLICATION <br />3 05 .S E <br />PROJECT ADDRESS <br />Owner <br />Scl <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />FVfRFj r4lkt_, (.-)Ar' S; t / <br />Mail Address <br />City <br />State/Zip Plane <br />Tenant ,/ r Mail Address City �/ State/Zip ,.1 (' Phone <br />VALLEr £lElTii1L ���� T�r,Tiq f%. GQE�1L �!�1�1��j-JE'-ETrW� <br />Electrical Contractor Mail Address City State/Zip Phone <br />�� I VAI—I—eEc 41114 Air ► 3� 'S — <br />State License Number Contract Price of Work <br />GLI BL 'A-,/ S4ND w t W-1 - 7 i <� R� C 4_AT) M Ae,D to OE l_ <br />Proposed Use of Building Contact Person (Plan Review) <br />of Work to Be Done: <br />r-1 5TIAL-i-A T- 1 (3 tJ OF= 1 I J 30A- ;?0i3V <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 ACCESCIBILITY: 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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVEAUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br />OR LOCAL LAW F'EGULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH 4PPLICATION IS MADE AND I COMPLY WITh THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />G� <br />Signature <br />ELECAP(REV V2001) <br />Date <br />FEE <br />Goqo 1-093 <br />