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APPLIC/� � ION FOR ELECTRICA� PERIVIIT <br />CITY OF EVERETT <br />BUILD/NG DIVISION <br />3200 CEDAR SiREET <br />EVERETl, WA 98201 <br />PHONE: (425)257-8810 <br />FAX: (425)25'I-8857 <br />G� l l!� �bWL� ���J� �ulkl) LO � I <br />PROJECT ADDRESS <br />.�-,,. �Rvwt�J. <br />�w � � <br />Owner Mail Address Ciry Stale/Zip Phone <br />Tenant Mail Adoress City State2ip Phone <br />�Gi 1'u1�1 �,eG ! A/< <br />Eleclricai Contractor Mail Address C�ry State/Zip Phone <br />Stale License Number <br />Proposed Use ot Building <br />Description of Work to Be Done: �L� S I� � ��� 4�� <br />Cantnct Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. AI'PLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCATIONAL FACILITIE�S AND ALL �HEALTH C E FACILIITI SI PLANS WILLEBC- R V EWED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO EiE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYS-i EM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBIE 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 QTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REAGH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CERTIFY THAT 1 HAVE READ AND EXAh11NED TH/S APPCICATlON AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PFOVIS/ONS OF LA WS AN� OR�lNANCES GOVERNING THIS TYPE OF 'NORK WILL 6E COMPCETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTlNG OF A PEr7MIT OGES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OA CANCc'L THE PFOVISlONS OF ANY OTHE�4 <br />STATE OR LOCAL L7W F7EGULATING CJNSTRUCTION OR THE PERFORh1ANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FCR WHICH APPLICATION IS MADE AND I COhIPLY WITH THE STATE <br />CONTRACTORS LA LV 78.27 RCW AND 296.200 WAC. <br />Signature <br />ELECAP(REV 898� <br />Date <br />�o <br />E O f UZ-03 Z <br />FEE <br />