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� <br />ELECT <br />ICAL PERMIT APP'�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� -3 �/ �mrti�,� �2� �6� � <br />ppOJECT ADDRESS _ <br />Owner <br />A�v� <br />Tenant <br />Maii Address <br />Mail Address <br />Contractor Mail Address <br />c_—._ . <br />State License Number <br />/���s - � r r� <br />P�repased Use of Building <br />City <br />Ciry <br />Ciry <br />State2ip <br />Statv2ip <br />Phone <br />Phone <br />StatelZip phone <br />Contract Price of Work <br />� _ __ <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �P(�/',�O�i//f%� ,�L���? ���L ss��ic �/,A/j/�/ <br />NOTE: PLANS FOR ELECTRICAL WORIC AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNUS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCFI JOBS MUST SHOW TFIE 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 TfiIS OFFICE. <br />NOTE: WIRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED 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 />ACCCSSIBLE 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 1 HAVE AEAD AND EXAMINED THIS APPLlCATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVIS70NS OF LA WS AND OFDINANCES GOVcRNING THIS TYPE OF WORK WILL 6E COhiPLETED WHETHEF SPECfF1ED HEREIN OR <br />NOT. TYE GRANT/NG OF A PEFMIT OOES NOT PAESUME TO GIVE AUTHORlTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH� PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORI7.ED BY THE <br />OWNEA OF THIS PAOPEATY TO PERFORM THE WORK FOR WHICH APPLICATlOPo' IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WP.C. <br />ELECAP(REV BI2001) t(�' O Q� /� �'I <br />� v�J <br />FEE � CJ 5 � <br />