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ELECT�►ICAL PERM'T APF�ICAI�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> a 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �°�, �n� sct KS c�-, 1`I�� <br /> PROJECT ADDRESS <br /> � s � �s � Sc� v�n� <br /> Ow�er Mail Address Ciry State2ip Phone <br /> Tenant Ma8 Atldress Ciry State2ip Phone <br /> —("21d ^�Y1'� � <br /> Elec�rical Conlractar Mail Atldress Ciry StatelZip phone <br /> Slate License Numher Contract Price of Work <br /> Proposed �of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: _ �ti �".�p ��� �j � <br /> b <br /> � c:� -� r <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 EVEREfT PERMIT WILL BE ISSUEt�. WAC 296-d6-140. ALL OTHER <br /> EDUCATIONAL FACILITIFS AND ALL HEALTH CARE FACILITIES PLANS`NILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NUN-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESS�BLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIh1UM <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 /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 IMCHES ABOVE THE FLOOR. <br /> I HEFE9Y CERTIFY TNAT 1 HAVE FE.4D AND EXAh11NE0 THIS .4PPLICATION AND KNON' THE SAM1tE TO 6E TRUE AND COFRECT ALL <br /> PFOVISIONS OF ULVS AND ORDINANCES GOVEFNING THIS TVPE OF WOFK WILL BE COWPLETED WHETHEF SPEClFIED HEFEIN OF <br /> NOT, 7HE GFAN7ING OF A PEFh11T OOES NOT PFESUhIE 70 GIVE AU7HOF17Y TO VIOL77E OF CANCEL 7HE PFOVISIONS OF ANY OTHER <br /> STATE OR CCCAL LAW AEGUG7TING CONSTFUCTlCN OR THE PEFFOFbIANCE CF CCNS7FUCTICN. THAT!AM AUTHOFIZED BY TNE <br /> OWNER OF THIS PFOPERTY TO PEFFOFhI tHE WOFK FOR 4VHICH APPLICATION IS AfADE AND I CCh1PLY WITH THE S i A i E <br /> CONTFACTOFS G1W 18.27 RCW AND 29ti200 WAC. <br /> � In � <br /> _ /C��, � � FEE �� � <br /> Signature Dale <br /> ELECAP�REV d'2 W q ���I� G�O/ �j <br /> j � <br />