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ELECT�'ICAL PERMIT AP"'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� � ia �,/�•�/�h °i D,-,— <br />PR/O/JECT ADDRESS `/ <br />/7�i'/�//� L.�/.'TY�-,�r�Si.S <br />Owner Mail Address City State2ip Phone <br />Tenant � Mail Address City State2ip Phone <br />/✓o r�l,{rYl ,Ci�.�� .F�c .: l7r.. //3a'� `iS� /�va T�/G-'�,-���}�o IcJ.ti' >b��a3 <br />Electrical Contraclor Mail Address Ciq� State2lp Phone <br />1/ 3� o �sti a',�7d' <br />Ll% o rTh �P �� U H rn r <br />State License Number Contract Price of Work <br />Proposed Use ol Building Contact Person (Plan Review) <br />Description of Work to Be Done: ��%i r� /�/{w I+�� m t. o� ci U/q/�'��.b l�� S� r'v� G L <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, �ACILITIES 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 EVERETT PEFlMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEf�LTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEbVAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES CR 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN 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 I HAVE READ AND E�'AMlNED THIS APPLICA�ION AND KNOW THE SAME TO BE TRUE AND COARECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETEIJ WHETHER SPECIFIED HEREIN Oli <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROV' :IONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT I AM AUTNORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOA WHICH APPLICATION IS MADE ANO 1 COMPLY WITH TNE STATE <br />CONTRACTORS 111 W 78.27 FCW AND 296200 WAC. <br />� <br />Signature <br />ELECAP(REV BI2001) <br />� J���-�5 � <br />Date <br />FEE <br />