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� <br />� <br />ELEC7"�ICAL PERMIT AP''LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 <br />-�n.2 � i'i�l lC,\.� � v�,� ,��., <br />PROJECT ADDRESS <br />�, .—_ _ -i _ 2 <br />� <br />Owner <br />Tenant <br />�� �� Address <br />Mail Address <br />Z2y� <br />Ciry <br />Ciry <br />� <br />St2telZip <br />StatalZip <br />y1.5 = <br />Phone <br />Phona <br />Electrical Contractor Mail Address Ciry SWte21p Phone <br />% <br />State License Number <br />��a�-,-s <br />Propased Use at Building <br />C�ntract Price of Work <br />Contact Person (Plar Review) <br />DescriptionofWorktoBeDone: ��1� �AN�L"•� /'L /�G�"� �'`l�i�'�� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITiES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTOf!. APPLICANI'S WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCATIONA FACIU EIES AND ALL HOEAETHF:ARE FACILITI SI PLANS WSLLEBE R VAEW ED BY THIS OFFICETHEA <br />NOTE: WIFING IN NON-DWELLINGS IS RE�UIHED TG 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 9E MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SFC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEP OPERABLE EQUIPMENT HVITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RAMGES OF WAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HERE9Y CEATIFY THAT 1 HAVE READ .4ND EXAMINED THIS APPLICATlCN AND KNOW THE SAME TO BE TRUE AN7 CORRECL AL'_ <br />PROVISlONS OF L;1 WS AND OADINANCES GOVERNlNG THIS 7YPE OF WOFK WILL HE COMPLETED WHETHER SPEl.IF1ED HEREIIv OR <br />NOT. THE GAANTING OF A PEAf�fIT DOES NOT PRESU�ME TO GIVE AUl'HORITY TO VIOLITE OR CANCEL TNE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L7W FEGUL4TING C'ONSTFUCT/ON OR THE PEFFORMANCE OF CCNSTAUCTION. THAT I AM AUTHORIZED 3Y TNE <br />OWNER OF iH15 PROFEnrI' TO PERFOFh1 THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFS LA bY 18.27 ACW AND 296.20G 'NAC. <br />ELEf,AP(REV 82001) � ��� � J <br />FEE <br />