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ELECT: ,ICAL PERMIT AP; LI�ATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />-i,^ , <br />`�„ ;`� t�( t,+��i� f- l/C'.Yr' f-� , I A i.� <br />PP' 'CT A�DRESS <br />Owner <br />Tenan� <br />Electrical Contractor <br />Mail Address <br />Mail Address <br />�dail <br />_� <br />� i" �� �1 C' I �_t (-I ', .;��_ _.� . <br />State License Number <br />� %, ��% �,r.�� �. <br />Proposed Use of Building <br />Description of Work to Be Done: <br />� <br />ciry <br />City <br />�' <br />City <br />State�Zip <br />State2ip <br />State2ip <br />Contract Price af Work <br />__ - � <br />r. ;, ,� -; ; , <br />�� <br />�� � _ - <br />'' ilZ/ <br />�;�� -,�, ; <br />� L-( Phone <br />Phone y z`� <br />i��`��� .�i�-57�i <br />Phone <br />Contact Person (Plan Review) <br />— ,�i <br />NOTE: PLr1NS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTOtJ. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WII_L BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACI�ITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIFiED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIB�E 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 RECEPTACIES 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 />1 HEFE9Y CEnTIFY THAT I HAVE FEAO ANO E.XAh16VED THIS AF?LICATION AND KNOW THE SAWE 'f0 BE TRUE AND COFFECL ALL <br />=FOVISIONS OF G7WS AND ORDINANCES GOVE.4NING 7HI5 7TPE OF WCFK WILL BE COh1PLETED WHEiHEA SPEGFIED HEFEIN Ofl <br />NOT. THE GRANrING OF A FEnhI1T DOES NOT PRESUh1E 70 GIVE AUTHOFITY' TO VIOL-0TE OR CANCEL i HE PFOVISIONS OF.1NY OTHER <br />STATE OF LCCAL U1W FEGL'L7TING CCNSTFUCTlON OF THE PEFFCFP,fANCE OF CCNSTFUCTlON rHAi I A�d AUTFIOF(ZFD B)' THE <br />OIVNEH OF THIS PROPEFiV ?O PERFORM 7HE WOFK FOR WHICH APPLICATlCN IS h1ADE AND I COMPLY WI7H 7HE ST`7Tc <br />GCNTFAC%CFSLAIV 1g.27FCWAND296.200WAC. <br />.. � � .., �� - �.� <br />_ - /`i :..� ,�: <br />Signature <br />ELECAPI'nEV 8:2C01) <br />FEE � � <br />�� ��- - <br />� C � �,�5 C� � '�—_ <br />