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Il ( <br /> t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1� 1 1 � l.o �v.1�c�i� S� <br /> PROJECTADDRESS 31'S' ��� � <br /> C5 -.�c� E I' � 7 y 1 I c� /�c 1= � 7c2 s� �e r�A �9�r i��- (z,:�l �-i�.'a <br /> Owner �da!I Address Ciry Slate/Zip Phona <br /> Tenanl Mail Address City Slale/Zip Phone <br /> OW V�E C� I <br /> EledricalConirar,�of MailAddress City State/Zip Phone <br /> State License tdumber Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption of Work to Be Done: �.p� ��'i n� P �r� �.� C� \ l��� �-.a '�.vn��1-,.�,.�( ��ay�5;- <br /> NOTE: PLf,NS 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 CIN OF EVERETT PERPAIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E 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 /> WITHI�! ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINItitUM <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 /> ACCESSIBL�_ SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES �r=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 EXAMINEG THIS APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES 60VERNING THIS TYPE OF WORK W/LL BE COMPLE TED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUlHORITYTO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br /> OR LOCAL LAW RcGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHGRIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WiTH THE STATE CONTRACTORS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> �� �j�� ��'1�I o's FEE <br /> ignalure Date <br /> ELECAP�REV&2001) <br /> Eo3o3-rti-{ <br />