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ELEC�ICAL PERMIT AP�'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��-� / i�CI,E <br />PRO�.ECT ADDRESS . <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Electrical Contractor Mail Address <br />�vsc��- � 95'3�T <br />State License Number <br />/-lr�v�lti/L <br />Proposed Use of Building <br />Ciry <br />ciry <br />Steta/Zip <br />StetelZip <br />Phone <br />Phone <br />c�ti suierziP �f.5 �'°�9�-� <br />�a9� <br />Contr�ac Pn'ca o�f W rk <br />�_� <br />Contact Person (Plan Review) <br />Description of Work lo Be Dane: /y �,�t'�/L� �� ��j/I.,E <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 TriE STATE <br />APPROVED PLANS BEFORE CITY OF EVFRETT PERMIT WILL BE ISSUED. WAC 296•46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN 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 OPEFiABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL DE 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 HEFEBY CEATlFY THAT I HAVE READ AND EXAIdINED THIS APPLICATlON AND KNOW THE SAME TO 8E TRUE AND CORRECL ALL <br />PFOVISIONS OF WWS ANO ORDINANCES GOVERNING THIS TYPE OF WCRK WILL BE COAIPLETED WHETHEA SPEGFIED 1-FFE/N OR <br />NOT, THE GHANTING OF A PEFbflT DOES NOT PRESUME TO GI VE AU7HORITY TO VIOL.:ITE OR CANCEL THE PROVISIONS OF ANY OTHEa <br />STATE OP. LOCAL L44V REGUII7TING CONSTRUCT/ON OR THE PERFOFAfANCE OF CONSTAUCTlON. TNAT 1 AM AUThOFIZED BY THE <br />OWNER OF THIS PFOPERTY TO PEAFORM iHE WOFiK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC70FS L.1 W 78.27 FCW AND 296.200 WAC. <br />Signeture <br />ELECAP(REV 8/2001) <br />Date <br />F�3�a- G 3� <br />FEE <br />