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� <br />`� <br />ELEQ� ; RICAL PERMIT A' PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�%z-S U%,yiJ�"�V� �D� <br />PROJECT ADDFiESS <br />Owner <br />Tenant <br />Electrical <br />PAt��r�� q9 i �✓� <br />State License Number <br />Meil Address <br />Mail Address <br />Mail Address <br />t�T�rr � <br />Proposed Use of Building -- <br />Ciry <br />Ciry <br />State2ip <br />StatelLip <br />Phone <br />Phone <br />�'ty StatelLip Phone <br />�-1-=�. � <br />Contract Price o( Work <br />�Ak�E,✓ Ri1�R-r� <br />Contac! Person (Plan Review) <br />Description of Work to Be Dane: r�/�—,,�t L,./�_p.v 0,� ��-t- �������r <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 />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 CAB! E. <br />HANDICAPPED ACCESSIBILITY: 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. WqC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WIiHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI_ BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51•20 SEC. 3106(bj4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CER7/FY THAT / HAVE READ AND fXAMINED TH/S APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br />PROVISIONS OF L7WS AND OROINANCES GOVERNWG 7HIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANT/NG OF A PERM/T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOCATE OR CANCEL THE PqOVISIONS OF ANY OTHER <br />STA 7E OF LCCAL LAW FEGULATING CONSTFUCTlON OR THE PE.SFORMANCE OF CONSTFUCT/ON. THAT I qM AUTHORIZED BY TNE <br />OWNER OF rH/S PFOPER7Y TO PERFORM THE WORK FOH WH/CH APPL/CATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS UW 78.27 FCW AND 296.200 4VAC. <br />i%���t,�-� <br />- i�-iz-�Z <br />Signature Date <br />ELECAP�REV BRC01) <br />E�ZiI-o��a <br />FEE <br />