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� <br />� <br />ELEC";�RICAL PERMIT A��LICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />!� � S. �, � U�� /�-1 �"� J-{Y �%�� <br />PROJECT/iDDRESS <br />Ow:ier <br />Mail Address <br />City <br />State/Zip <br />Fhane <br />ent � Mail Address Ciry Stete/Zip Phone <br />� TSsocl�-%r� E"lc�f•es� p� /�'� 1b'J S.K��a� r� �i (,J� Si2f/ Y1� �,3�1�-/f�`s_ <br />ElectriCal Contractor Mail Address Ciry State2ip Phone <br />� <br />,rQssoc�c a �PJ'n�L. '� �6J° <br />State License Number Contract Price of Work <br />� s� ��� <br />Proposed Use of Building <br />Description of Wark to Be Done: �-" � l�,q.A-.� �-� <br />�%/'!-,�+�-� C GQN L�C.Q C 0 �.J <br />Contact Person (Plan Review) <br />� <br />NOT�: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES U"fiLIZING 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 />EDUCATIONpL FACILITIES AND ALL HEALTH CARE FACILITIES FLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIFiING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />H/\NDICAPPED 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 SIiALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 57-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS AP?L/CATION AND KNOW THE SAME TO BE TRUE AA'D CORREC7. ALL <br />PpOVIS10NS OF LAIM1B AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COh1PLETED WHcTHER SPEClFIED HEAEIN OA <br />NOT, THE GRANTlNG OF A PERMIT OOES NOT PRESL'.AE TO GIVE AUTHORITY TO VIOL?7E Oq CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LCCAL LFW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7}iAT 1 AM AUTHOAIZED 8Y THE <br />OWNEA OF THIS PROPERTY TO PERFORM TNE WORK FOR lh'HICH APPLICATION IS MADE AND 7 CDMPLY WITH THE STArE <br />CONTqACTORS LAW 78.27 RCIN ANO 296.200 WAC. <br />aiynniure Ue[B <br />ELECAP�REV fl2001) <br />�b� <br />� o3c3-rc� <br />FEE `� f � � <br />