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ELECj`�ICAL PERMIT AR�'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-885 % <br />o�.l� 1 �o I—1 � �.� S� n c �.. c� � E� ti;: l.� .�.. �'i �a—� 3 <br />PROJECT ADDRESS <br />Owner <br />Meil Address <br />City <br />SWtefZip <br />Phone <br />f�F.�- <br />Tenant � Mail Address City StatefLip Phwie <br />S£L� <br />Electrical CoMractor Mail Address Clry State/Zip Phone <br />State License Number Contract Price of Work <br />�Es �o Eu ri ,��. <br />Proposed Use of Building <br />���� Src��,K� <br />Cantact Person (Plan Review) <br />Description o1 W ork to 8e Done: Rti a � o t ti T �,t� /� n n �—i �ti C' ��1 ��� r r.J �. u�- A �o W� t <br />S�4i� � ���.nti Ao� �� u�� a .a �-,�n r� -� M0.,1-Ew 3EJ�CJJ �Rl��4/ £ <br />t:XE2 �ir 2�.��. �on - � i T�I—Ar-.i/L ��Cl�J 5:2. F� _ <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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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. 310G(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 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 />! HEREBY CERTIF1' THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECr ALL <br />PROVISlONS OF 1..7 WS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETEO WNETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUI�7TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Tf1AT 1 AM AUTHORlZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br />SigneWra <br />_�3 �y FEE <br />oece <br />ELECAP(REV 8/2001 � ,� �'�D7-�/` �-� <br />