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� <br />� <br />ELEC�.3ICAL PERMIT APC�'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />isa y� Na //� �.� b�. /r pl. ,[„ ��. <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Address <br />Mail Address <br />rA /�li�.f Lz�IC. ��3�0 <br />tfaC— to� Meil Address <br />ivo r TN� L•"oyy/r�►2 <br />State License Number <br />Proposed Use of Building <br />Ciry <br />Ctty <br />NG•' <br />City <br />State2lp <br />StetelZip <br />StatelLip <br />Contract Price of Wark <br />Contact Person (Plan Reviaw) <br />Description of W ork to Be Done: 1� f,- c /`"7 O O S� iT /V r twi �+-/vI-h p <br />. � <br />.� c7 c7 !,� '.O U.0 <Gr�J/G l' <br />Phona <br />Phone <br />36 v �S4 <br />Phms <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 WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS 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. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL �ECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE RQUTES 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 HEREBY CEATIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LdW REGUL4TING CONSTAUCTION OA THE PERFORMANCE OF CONSTRUCTIOK THAT I AM AUTHORIZED BY THE <br />OWNEA OF THIS PROPERTY TO PERFOAM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS L4W 7827 RCW AND 296.200 WAC. <br />FEE <br />ELECAP(REV812001) /1'G��S �,,�� <br />�C.. � i <br />