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ELE� TRICAL PERMIT Ar�PLICATION <br /> CITY OF EVFRETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ 1 � <br /> PRO.iECTADDFIE S <br /> ���14t'i �IC��. �� )G �') It'��'i �� I,(llf' �1$�� <br /> Owner Mail Address �i . <br /> h S�«�P Phone <br /> Tenant � htail Adtlrass Ciry StatalLip phone <br /> �Y� �kc►��e Co�� - ,��c� iq� srs�- LVnn lUJ4 9X0� �42� "179�-l�Cni3 <br /> Electrical ContraCtor Mad Address C ry SWtelLip Phone <br /> �i1v�c�o� i)5 <br /> State License Number Contract Pnce of Work <br /> Proposed Use of Building Contact Persor� (Plan Revieov) <br /> Description af Werk to Be Done: �� �� ��h��� I��� / <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 EVEFETT PERh11T WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CA�LE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEFTACLES ON WALLS <br /> WITHIN ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABQVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTRGL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE 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 /> I HEFE9Y CERTlFY THAT! HAVE FEAO ANO EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TAUE AND CORRECL ALL <br /> PFOVISIONS OF L7W5 AND ORDINANCES GOVERNING THIS IYPE OF WOFK WILL BE COhIPLETED WffE7FfEA SPEC/FIED NEREIN OR <br /> NO7', TNE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEL THE PROVISIONS Or ANY OTHER <br /> $T,47c OR LOCAL UW FEGULATING CONSTRUCT/CN OR THE PEFFOAb1ANCE OF CONSTAUCTION. THAT I AM AUTHORlZED BY THE <br /> OWNER Or Ai15 PnOpERTY TO PEAFORhI THE WOFK FOR WHICH APFLICATlON IS MADE AND I COMPLY W/TH THE STATt <br /> CONTRA . FS LAW 18.27 RCW AND 256.200 WAC. <br /> C1L� '' �- -U .3 FEE <br /> Signature Date <br /> ELECAP�REV B/2C01) �d-3D S-OZ2� <br />