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ELEC 'RICAL PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> PRUJECT ADDRE '' �.Za� <br /> f�..,���,� �a��� ,o�.�.rr� �"o�,�` �ro� ���a� ��'���aDa <br /> Owner Mail Address Ciry State/Zip Phona <br /> C/�� <br /> Tenant � Mail Address City StatelLip Phone <br /> il�cl�N�v•�P�-f/ec%wG �.��5�<fD L,�.Q_,P..r'i.4'e,.�� J'e:,t�i o.ti+.�'.rlt �Ja, 9x�29� d�'�.iy'esb'y�/ <br /> Electrical Contractor Mail Address Ciry State2ip Phone <br /> / Y �/J �'/C C�L`/C?/ ��~✓C�. �� <br /> State License Number Contract Price of Work <br /> Cs�:. -.--i'1 -/is�! i . %rL' �i�17..�%(� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �N'Y✓/hc� �il,'h� %!2A �{ ' %�i= � �<<%�-�C����.+ZC l� <br /> C.�--�f <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 EVERETT PERMIT WILL BE 15SUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BC REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE iN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ,4CCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCES�IBLE SPACES OR ALONG ACCFSSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES.4BOVE THE FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEA OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR AL�NG ACCESSIBLE ROUTES OF TRAVF.L SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NGT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE flEAD AND EXAh11NE0 TN/S APPLICATION AND KNOW THE SAME TO BE TRUE AIJG CORRECL ALL <br /> PROVISlONS OF L:7 WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WI�L BE COMPLETED bVH[THER �PECIFIE� HEFEIN OF <br /> N07. THE GRANTING OF A PERMIT DOES NOT PFESUME r0 GIVE AU7HORITY TO VIOLaTE OF CAidFEL THE PROVISICNS OF AfJY OTNEF <br /> STATE OR LOCAL L7W FEGULSTING CONSi FUCTION OR THE PERf�OFMANCE OF CONSTFUCTION. THAT 1 AM aUTHORIZED BY THE <br /> OWlJER OF THIS PFOPEFTY TO FERFJFM THE WOFK FOR lM1'iGCH APPLICAT/ON IS MADE AND 1 COMPL� WITH TN.E STATE <br /> CONTRACTORS L7W 78.27 RCW AND 296.200 WAC. <br /> /� <br /> // <br /> � � � <br /> ii���-. /1����i /rl%Z�'JS� FEE <br /> Signature Date <br /> ELECAP(REV81200t) ��3(I —II�o <br />