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APPLICA1.iON FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISfON <br />3200 CEDAR SlREET <br />EVERETT, WA 98201 <br />PHONE: (425)257-88/0 <br />FAX: (425)257-8857 <br />i v�� No/%�, a�/�. �.1. ,��� / <br />PROJECT ADDRESS <br />�if'c,��` Lr»7Yr/Jr/SY� <br />Owner Mail Atldress Cily State2ip Phone <br />Tenant FAail Address City Sfate2ip Phone <br />/ l 9y��3 <br />/1/o,-f�+�n .�ii/n �" Ll�t e� /L�av 9S� vr �Ll�/�r�n��`D h J'✓A 3lv�,ss�s'7B <br />Electrical Contractor " Mail Aadress <br />ivo�}'� �� vyrr��' <br />State License Number <br />%1un�i 1D <br />Propaseil Use of Building <br />City <br />Description of Work to Be Done: o( O� iQ�,.,.b �Y� z„ c P <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <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 EVER�TT PERMIT WILL BE ISSUED, WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN AACEWAYS, 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 �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 />1 HEREBY CEATIFY THAT 1 HAVE FEAD AND fXAMINED THIS APPLICAT/ON AND KNOW THE SAA1E TO BE TRUE ANO COFAECL ALL <br />PFOVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF WOFK WILL 6E COMPLETeD WHETHER SPECIF/ED HEREIN OR <br />NOT, THE GFANTING OF A PEFMIT DOES NOT PFESUME TO GIVE AUTHOFITY TO VIOL-0TE OF CANCEL THE PFOVISIONS C'F ANY OTHER <br />STATE OR LOCAL Lri W AEGULATING CONSTRUCTION OR THE PEn'FOFHIANCE OF CCNSTFUCTlON. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PFOPERTY TO PEFFORM THE WOFK FOR WHICH APPLICAT/CN /S hIADE AND I COhIPLY WITH THE STATE <br />CONTRACTORS L;7 4V 18.27 FCW AND 296.200 WAC. <br />� <br />SignaWre <br />ELECAP(REV 898� <br />� <br />Date <br />FEE <br />�o/o�-dlap - <br />