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� <br />ELEC�'RICAL PERMIT A�'�LICATION <br />c�Tl� OF EVERElI'T PEP�'��IT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��014 IiDl�a,� �.%�i P�' UnliS C� D <br />PROJECT ADDRESS <br />G,�.ivL,iU _�.rn�c ^ II �9a. n� nm <y -F,ra.o� <br />Owner <br />Tenant <br />Electrica� <br />fl'��t1�=r.�o1 i�5 <br />State License Number <br />Proposed Use of Building <br />Mail AdCress <br />Mail Address <br />C�e ' . I�`� <br />Maii Address <br />Description ot YJork to Be Dane: <br />Ciry <br />Ciry <br />)4�1- <br />Slate2ip <br />StatelZip <br />o t42�) 7 <br />Phone <br />Phone <br />SWtelLip Phone <br />� q�qu.00 <br />Contrect Price of Work <br />Contact Person (Plan Review) <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 BEFUFIE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-14G. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIFING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC GR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAIL BE MOUNTED A MINIMUb1 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL A�D OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br />ACrESSIBLE SPACES OR ALONG ACCESSIBLE ROUiES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RA� JGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I N.�nE5Y CE9TIFY 7HAT 1 N.AYE AEAO AND EXA,L1/NE0 THIS APPL/CATIUN AND KNOW THE SA,LIE TO BE TFUE AND COFRECL ALL <br />FnOV1SiCN5 OF L4W5 AND OFDINANCES GOVEnNING THIS TYPE OF WOFK WILL BE COhIPLETED WHE7HER SPEGFIED HEnEfN OF <br />,YOi, TNE GFANT!!YG OF A F�n'�lf/i DOES NOT PFESUME TO GNE AUTHORITY TU VIOLA7E OF CANCEL THE PROVISIONS OFANY OTY.En' <br />S � ATc CR LOCAL UW FEuUG1T/NG CONSTFUCTION OR THE PEFFOFMANCE OF CONSTAUCTlON. THAT 1 AM AUTHOAIZED BY TI?E <br />CbY,VEA OF iHIS PFOPEn'ir' TO PERFORM THE WORK FOR WHICH APFLICATION IS MADE AND 1 COMPLY WITH TNE STA7c <br />GON i n'ACTORS LAW 18.27 FCW AND 296.200 WAC. <br />II <br />Siynawre <br />ELECAP(FP/ &2C0 � 1 <br />��� <br />Date <br />E(i.?o9-D 3l'i <br />FEE <br />