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ELECT�'ICAL PERMIT APf �:ICATION <br />CITY OF EVERETT pERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_��/i7 �/cy;i� ��� <br />PROJECT ADL�RESS . , <br />� / �j <br />J%?Oi ni✓L_ /!Jn�/F-• r Jc�� T�c�' ��f�'(� �✓j�/'� � liJ/T L�.�(J� '' <br />7 � <br />Owner Mad Atldress City StatelLip � Phona <br />'I ��) <br />C. Cc�i? t'"! ��//i i 7� � V r fT (�C �''" J �• S� .�� 1 7 <br />�l/� /"�%T ... <br />Tenant <br />Contractor <br />State License Number <br />Proposed Sse � uilding <br />Mail Address <br />Mail Addross <br />Description of Wark to Be Done: _ F,C• <br />K`%�_ � `i�/ � <br />��,� «� s«i� <br />//!c �� CC �� ic� l , D <br />City <br />ciry <br />� <br />SWte2ip <br />3tate2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />' ,�1G1' /1�4J'� <br />'lJ` j� ] ��� � /l/r"%�c t-, �,�� <br />..�ir -� <br />NOTF: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHO+N THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 293-4fi-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELI.INGS IS REQUIRED ?O 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 57-20 SEC. 3706(c)2. <br />ENVIRUNMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE A-tOUNTED WITHIN THE RE.4CH <br />FIANGES OF WAC 51-20 SEC. 3106(b}4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOF. <br />l HEFEBY CERTIFY THAT I HAVE READ AiJD tXAMINED TH/S APPLICAT/ON AND KNOW THE SAMc TO BE TRUE AND CORRECT. ALL <br />PROV/SIONS OF Li WS AND ORDINANCES G:JVEFNING THIS TYPE OF WORIC WILL BE COMPLETED WHETHER SPECIFIED HEPEIN OR <br />NOT, 7HE GRANrING OF A PEnh117 00ES NOT PRESUME TO GIVE AU7HOr,17Y TO VIOG1 TE OR CAh'CEL THE PROVISlONS OF ANY OTHER <br />STA7[ OR LCCAL L1W REGULiT/NG COPo'STFUCTION OR THE PERFOFh1ANCE OF CONSTRUCT/ON. THqT 1 AM qUiHOR12ED BY THE <br />OWNER OF THlS PROPERTY TO PERFORAI iHE WOFK FOR bl'HICH APPLICA710N !S MAOE AND / COMPLY WITN THE STATE <br />COh'TRACTOFS W VV 18.27 RCLV AND.g6200 WAC. <br />Signature <br />ELECAP(REVB2CUt) <br />S'_�y'_ �'�'i � <br />Date <br />Foz,�3 -c�[� <br />FEE `� C� <br />� <br />