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ELEC�'RICAL PERMIT AR .�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�J� fl.rav�d � C�lWfE�4- W14 <br />PROJECT ADDRESS <br />� 'F►�' zv� �SO 3a�� <br />ow�er <br />Mail Address <br />Ciry <br />StatelZip <br />Phona <br />�f � � �I <br />Tenent - Mail Address Ciry g���P P� <br />C7D�r3acw.. C.ar�vr,e�t�.i�s '� �c ZZ6o 8►,�w�.�sl� wvr ag 91 �°� 8 a 1 le <br />Electncal Contractor Mail Admess Crty Stete/Zip p�e <br />CJD�?.bTL` l.'L84� NP <br />State License Number <br />�� � <br />Proposed Use of Bwlding <br />Descriptlon of Work to Be Done: <br />`�S,�Dt� <br />Contract Price ol Work <br />�- Llsi r� S <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 BEFORE CITY OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-1a0. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS 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 ALON� ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOH. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER GONTROL 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 ScC. 3706(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERrIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAN'S ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br />NOT, THE GRANTlNG OF A PEFMIT DOES NOT P,9ESUME TO GIVE.t UTHORITV TO VIOLATE OR CANCEL THE PROVISlONS OF ANY OTNER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br />OWNER OF 7H:S PROPERTY TO PERFOqM THE WORK FOR WNICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFa LAW 18.27 RCW AND 296.200 WAC. <br />signature pete <br />ELECAP�REV8f2001) E a3�2 -os� <br />FEE <br />