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ELECT'�.ICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />3uro ,v r�ss�� � ,— <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />.o.C. SE <br />Electrical Conlractor <br />Mail Address <br />Mail Address <br />Mail Address <br />I�iO� 5� �.:�. D��( �!✓ <br />Slale License Number <br />S F!� <br />Praposed Use of Bwlding <br />City <br />City <br />Cih� <br />StatelLip <br />State2ip <br />� ttS � � <br />StatelZip <br />°/ oc� °°' <br />Contract Pnce of Wark <br />Contact Person (Plan Review) <br />Descrtptian of W ork to Be Done: _ �/z ti(O [i Ui � �% �� p e v, � /�(I S <br />Phone <br />Phone <br />�-30Q <br />Phono <br />NOTE: PLANS rOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROV[D BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVEREiT PERMIT WILL BE !SSUED. 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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSI3ILITY: ELECTRICAL AND COMMUNICATIONS 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 COP'TROL RECEPTACIES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACC 'SIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />FANGES OF WAC 51-20 SEC. 3106(b)4 l 4ND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW TNE SAME TO BE TRUE AND CORRECT. A6L <br />PROVIS/ONS OF LqWS AND ORDINANCES GOVERNING THIS TYPE OF WpRK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, rHE GFANTING OF A PERMIT DOES NOT PRESUME TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� qNY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM qUTHOHIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH Tl{E STATE <br />CONTRACTORS L4W ig,27 RCW AND 296.200 1VAC. <br />oiyna�ure Date <br />ELECAP�REV B/IOpI) � OI � �c � <br />FEE <br />