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ELEC�'RICAL PERMIT AI�?LICATION <br /> CITY' OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S"�REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �,/ �� a ��� � , fC,�.c' � yas3ayy° i� <br /> AROJECT A�,DDRESS _ ; � / ��D//�� �/�a �/�4�i" ' = // ��� <br /> j / lJP,LP � �,f� <br /> Owner ' Mail Ad ss Ciry State/Zip Phone <br /> Tenant � Mail Ada,ess Ciry State2lp Phona <br /> �')C,�� o ,✓ /�G�l<P (� ��� 3 d 0-z�- <br /> Electrical Conlractor Mail Address City StatelLip Phone <br /> Stale License Number Contract Price af Work <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> Description of Work to Be Done: �V � i hC� �� D OW3+ S 7'Y�,f d' S /''� /'jLD C✓�/ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANT5 WITH SUCH JOBS MUST SHOW 7HE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT W�LL 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: WIRING IN NON-DWELLINGS IS REDUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNI��ATIONS 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 E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 Sf=C. 3106(b)4 E& F AND NOT LESS THAN 3G INCHES ABOVE THE FLOOR. <br /> 1 HERE3Y CEATIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVIS/ONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED YL'HETHER 5PECIFIED HEREIN OA <br /> NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTFUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br /> OWNEA OF THIS PROPERTY" TO PERFOFM fHE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH 7HE STATE <br /> CONTFACTORS LAW 1827 RCIN AND 296.200 WAC. �� �� � <br /> �- � � � -�� FEE <br /> Signature Date <br /> ELECAP(REV d2001� <br />