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ELECT�ICAL PERIVIIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERtTT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Z �Z� �om�-i��c� A'vC� �✓P� 6✓!� GI$w� <br /> PROJECT ADDRESS <br /> Cl,r's-l��J.ri �, Lak� 1/Auca�h 7 2z / Ldm��d /�-ve l=✓P�' G�l➢ 98'2�7 lNz���s�—yy6s <br /> Owner Mail Address CiTy State2ip Phone <br /> Tenant � Mail Address City State/::ip Phone <br /> UwnPY Snme — <br /> Elecirical CoNractor Mail Address City Stato2ip Phone <br /> State License Num4er Contract Price of Work <br /> �e ��� <br /> Proposed Use of 6uilding Contact Person (Plan Review) <br /> Description of Work to Be Done: �/% l �' ��a i l i D 1�1 <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 EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS 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 VVALLS <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 MUUNTED 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 /> I HEREHY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLlCATION AND XNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVIS/ONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WNETHER SPECIFIED HEREIN OR <br /> NOT, THE GAANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOflM THE WORK FOF WHICH APPLICAT/ON IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br /> �j�il/I T G2/{,��1/G,�l IU�Z�/ U � FEE <br /> SignaWre Date F G��O_�53 <br /> ELECAP(REV 82001� <br />