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ELEC�''RICAL PERMIT A�iPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� �G � D :'vrr� <br />PROJECT ADDRESS <br />LiTY a� �V <br />l� �V pC <br />3/0 / �'c��a r ST �v�eir <br />'>2S'.2s7 -Pp97 <br />Owner Mail Address City State2ip Phone <br />i!l'�'f' S%22?ia✓1 �� <br />Tenant � Mail Adtlress City State2ip 360Phone <br />E�rcTri C w�S7� .i✓IC �/7 N 6�-� S?` /l/ls'VP/'Hah %S'i27� �I/9�937� <br />Electrical Contractor ' Mail Address City State2ip Phona <br />�'L EcTtiv,t:o 3oT r <br />State License Num6er <br />Ftr-e ST«,T:o� � <br />Praposed Use of Builiing <br />�/7�'ODd <br />Contract Pnce f Work <br />Contact Person (Plan Review) <br />DescriptionofWorktoBeDone: wlY-(• h�W T/P-�' Si�2Tio✓I <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE rUNDS 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 />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NCN-DWELLINGS IS REC]UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED AGCESSIBILITY: ELECTRICAL .4ND COMMUNICATIOfVS SYSTEM RECEPTACLFS 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 EQUIP�"�NT WITHIN <br />ACCESSIBLE SPACES OR ALONG AC(:ESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED !"dITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LcSS THAN 36 INCHES ABOVE THE FLOOR. <br />I HERE9Y CEAT/FY TNAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PFOVIS/ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NO i. THE GRANTING OF A PEFMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />S i ATE OR LOCAL LAW REGULAT/NG CONSTRUCT/ON OR THE PEAFORMANCE OF CONSTRUCJfON. THAT 1 AM AUTHORIZED dY THE <br />Obl'NcR OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICH APPLICATION IS �lAOE AND I COMPLY WfTH THE STATE <br />CONTRACTORS LAth' 78.27 RCW AND 296.200 WAC. <br />Signature Oate <br />rL�CAP�REV8Y2001) �Cy.'Ld']`� OC� <br />FEE <br />