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ELECT ;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 /> l�� �=� .� �1, �„ • [��t� , n <br /> PROJECT ADDRESS <br /> 3.� ��ln Ci � e / � � 1 ' <br /> �rd� �a��w U,,, , 0 9�� 5 3o n� <br /> vwner Maii Address ��h, Q � "1 5 � <br /> State/Zip Phone <br /> Tenant � Mail Address <br /> \ ��ty State2ip <br /> � „ � , _ _ � � _ � r � � Phone <br /> �aa_a�a..o.�ce v S, �>I i l� /1 � /1 � <br /> Elect� Contractor Mail Address � �' C� �� ��� <br /> _ L�`'L�� CC r p ��ry Slate2ip Phone <br /> �" � �( 2 G, 1 <br /> stale License Number <br /> Contract Price of Wory� <br /> Proposed Use of Building <br /> Conlact Person (Plan Review) <br /> Description of Work to Be Done: � 1. �,�r.,, � � 1 <br /> � - ? �an �� � �n � �'I' �n � <br /> . 1 ,(� •r <br /> � UN Y-'�n (}\ l�sl Y <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 MU5T SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WqC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E REVIEWED BY THIS 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 /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A A9INIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTFOL RECEPTACLES AND OTHER OPERABLE EQUIPIv1ENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE 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 HERE9Y CERTIFY THAT 1 HAVE READ AND EXAM1fINED TH/S APPLICATlON AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PFOVIS/0NS OF G1lVS AND ORDINANCES GOVEFN/NG THIS 7YPE OF 4YORK W/LL BE COMPLETED WHETHER SPEC/FfED HEFEIN OR <br /> NOT, THE GFANTING OF A PEnl.11T DOES NOT PRESUME 70 G/VE AU7HORITY TO V/OUTE OR CANCEL T11E PROVISIONS OF ANY OTHER <br /> STATE OR LCC.iL L7W FEGUWT/NG CONSTRUCTlON CF 7HE PEFFOFM1fANCE CF CONSTFUCTION. THAT I AM qUTHORIZED BY 7HE <br /> OWNER OF THIS PFOPERTY 70 PERFOFM1I TNE WOFK FOR LYHICH APPLfCAT/ON IS MADE AND I COMPLY WITH THE SLiTE <br /> CONTRACTOFS W W 1827 FCW AND.9fi."-00 WAC. <br /> ` ` � O�. FEE ��� <br /> � Signature <br /> Date <br /> ELECAP(REV 812Lqt� <br /> �c' �0-7- 03 l <br />