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ELECT .iCAL PERMIT API�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _.� ��1J/��/Y1�,� � <br /> PRO ECT ADDRESS , <br /> �V <br /> Owner � Mail ACdress <br /> Ciry StatelZlP Phona ' <br /> Tenant Mail Address Ciry <br /> Steta2ip Phone <br /> Electrical Contractor Mail Atldress ��ty <br /> StetelLip Phone <br /> State License Number <br /> Contrect Price of Worlc <br /> ��`� <br /> Proposed Use of Building �� <br /> Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> �.( �in o �0�1�ri�i-.Pn� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, ;ACILITIES 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. Wq� 2g6-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILI"(Y: 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 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 /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION FND KNOW T}IE SAME TO BE TRUE AND CORRECT. A�� <br /> PROVISIONS OF LA WS AND CRDINANCES GOVERNING 7'HIS TYPE OF WORK WILL BE COMPLETED WNE7'}�ER SPEClFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORlTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> . - <br /> .._. . . _____ J <br /> _'. / � <br /> _ C — -- f FEE � <br /> Signature � Oate <br /> ELECAP�REV fl2001) <br /> Eio9 cD,� <br />