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; �� ELEC� RICAL I��iRMlT AF .�LICA►TIaN <br /> � CITY OF EVERETT PERIUii? SERVICES <br /> ; <br /> I � 3200 CEDAR STREET, EVERETT, WA 89201 <br /> L425-257-8810 - FAX 425-257-8857 <br /> I � o � I-+� �-� ; <br /> PROJECT AUDRESS <br /> �_�r�J '�n 1"\ \ \�i� l. 1�.1 l.-'�=� <br /> Owner Mail Address Gry State2ip �hane <br /> Tenant - Mail Address C�p� State2ip Phone <br /> �✓ �� ,� � - vz,-- <br /> ��M �t - .n �c � �� � � �•����= c� � y�vNu�.� ��- 7rz-�9PX <br /> Eleclrical Contractor �Aail Address Cib� State/Zip Phone <br /> �iJ� 0 s�i� 1 vt � 'J�- D`, d��]:� <br /> Sta;e Licer.se Number Contract Pnce ol Work <br /> y n�r� APr - <br /> Proposed Use ot Buildirg Contact Person (Plan Review) <br /> Description of Work to Be�ane: _ �.�_ /v � j�1-�,L /C 4� P}�,�-c�s ,.�„ �� S— ��^-� <br /> �=, ��� (� �� <br /> NOTE: PLANS FOF E�ECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZiNG STATE FUNDS MUST BE <br /> APFROVED BY 7HE ST,4TE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE S'iA?E <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. INAC 296-46-740. ALL OTHER <br /> EDUCA I IONAL FACILITIES AND ALL HEALTH CARE FACiLITIES PLANS WILL BE REVIEWED BY THIS UFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILI'lY: ELECTRICPL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR.A'J2L SHALL BE MUUN'I'ED A MINIMUM <br /> OF 15 INCHE� ABOVE THE FLOOR. WAC 51-20 SEC.3106(r)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES RND OTHEH OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TFIE REACH <br /> R.ANGES OF WAC 57-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INC IES ABOVE THE FLOOR. <br /> I HERE9Y CERT/FY 7HAT I HAVE FE4D AND EXAhfINED rHIS APFLICATICN AND KNOLI' 'fHE SAME 7'O 9E TFUE AND t1QRRECL ALL <br /> FFOVI$lONS OF UWS AiJO OFDINANCES GOVEFNING TNIS Tr'PE OF WOFK WILL BE COh1PLEitC WHETHER SpEGFI,Fp HEFEIN OR <br /> N07, THE GRANrING OF A PERM1fIr DOES NOT PFESU,SfE'O GIVE.iU i HCF!Il'TO VIOLATe OR CANCEL THE FROVIS70NS G�ANY OTNER <br /> STATE OR COCAL UbV FEGUG171NG CONSrFUC710N OR rHE PEnFOFh1ANCE OF CONSTnUCTION. 1'HAT I AM AUTHORiZED BY THE <br /> OWNEr OF rHIS PFOPEFTY TO PERFORM1I THE WOFK FOfl 67HICH AP.°LICArlON 15 �NADE ANO l COhIPL1' �h7TN THE STATE <br /> CCNTR.4CTOFS LAW 18.D RCW AND 296.200 Ih�AC. <br /> i / <br /> �/ ,� G—� � � L Q��3— FEE <br /> � <br /> jSignature Date <br /> ELECAP(REVB'2007) � ('iz.CJ 3'I GCl <br />