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ELECT �CAL PERl1AIT AP� �ICATION <br /> CITY OF EVERETT PERMlT S�RL��CES <br /> 3200 CEDAR STREET, EVERETT, WA 982Qt <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��/ y /�C/Yin ��I f.vc!'c�- `�f'�3 <br /> PROJECT A�ORESS <br /> D�,u,�� �;��b�� ��iy Mti,:. �a„� �v�.�� 4 �ao3 y�S�y3S!€biy <br /> Owner Mail ACtlress Ciry State2ip Pho;ie <br /> Tenant Mail Address Ciry State2ip Phone <br /> 81�kb��., el« <br /> ElectfiCal COn�raCtOr Mail Address City State2ip Phone <br /> �,00� <br /> State License Number Contract Pnce of Work <br /> Proposed Use ot BwiSing Contact Per>?n (Plan Review) <br /> Descript�on of Work to Be Done: ��»���` 1��.'j'h <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 ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONPL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELL;NGS IS REOUTAED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND CCMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES QR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAL� 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 W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br /> I HEFEBY CER7IFY THAT! HAVE READ AND EXAM/NED THIS APPL/CAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS TVPE OF WORK WILL BE COMPLETED WHETHER SPECIF.'ED HEREIN OR <br /> NOT, THc GI7ANTlNG OF A PEF?MIT DOES NCT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> SiA7E JR LOCAL LAW REGULATING CC�NSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNE�7 OF THtS PROFERTY TO PEFFORM THE WORK FOR WH/CH APPCICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTAACTORS L4W 1827 RCW AND 296.200 WAC. <br /> % `z- '�� L 6� �r - o i FEE <br /> — r <br /> Signature Date <br /> ELECAPp7EV 4'200t) ����G�`N J <br />