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ELECT�ICAL PERMIT AP+�"LICATIOI� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _��/J� /7rwr^// /t�e <br /> PROJECT ADDRESS <br /> 1�3c� f��/�,fni /9/f /�c��� �r.-e � �/9- �j�ao/ 3 sa f99 <br /> Owner Meil Address Ciry StetelZip Phone <br /> N�� <br /> Tenant ' Meil Address Ciry StatelLip Phone <br /> /)LC C-1�c1�r�� ri•�c /7,G� / o.v o209 /V �,�lE waa� w� 9oaf'-9 o2s f.�ty7 <br /> Electncal Contractor Mad Address City State/Zip Phone <br /> �[C EL Z X a//oG � /roo <br /> State License Number Contract Price of Work <br /> A,�t� D„�o CoNt,� <br /> Prop sed Use ol8uiiding Contact Person (Plan Review) <br /> Description of Work ro Be Done: /� /1 fD��C 2 {�Q f Pi' ��f C' <br /> f <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES t'TILIZING 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 EVERETT PERMIT WILL BE 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 REQUIRED TO 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 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AI.L <br /> PROVISIONS OF L4 WS AND OHDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLETED WHETNER SPECIFlED HEREIN OR <br /> NCT, TNE GFANTING OF A PERMIT DOES NOT PRESUME TO CaIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE GR LOCAL L4W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THqT I AM AUTHORlZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WNICH APPLICATION 1S MADE AND 1 COMPLY WITH THE STATE <br /> CONTAACTORS LAW 78.27 qCW AND 296.200 WAC. <br /> EU"�t�c'� ���� <br /> � � P� FEE <br /> Signature Date <br /> ELECAP(REV&200�) <br />