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ELEC �r�ICAL PERiNIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1� z9 , ,�� c �2 <br /> PRO CT ADDRE S � � •� ,, . <br /> �A✓� 2 �\G.l ���S�5 .S�` I�d � /°� .� S�.S C� '� <br /> J <br /> Owner Mail Address Ciry StetelLip phone <br /> ' �,.(Z� �s,� 1n.S loy2q u�P.P ,[�;P C'.r/l�.� t��� S�"?< <i-ts 3z�-2�?� <br /> TenaM - Mail Ardress City Stata2ip Phone <br /> Electrical Coniractor Mail Address City State2lp Phone <br /> State License Number Contract Price of Work <br /> � <br /> ( �I.l�i�,-C�0< <br /> Proposed l�se of Building Contact Person (Plan Review) <br /> escription of Work to Be Done: e 1� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUBT 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: WIqING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, P�1C OR AC Cr.BLE. <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. 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 WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THF FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF L4WS AND OROINANCES GOVEFNfNG THIS TYPE OF WOFIC WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERh�f1T DOES NOT PRESUME TO GIVE AUTHOAITY TO V/OLATE OR CANCEL THE PROVISlONS OF ANY OTHER <br /> STATE OR LOCAL LAW AEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY TNE <br /> OW'NER OF THIS PROPERTY TO PEAFORh1 7HE WOFK FOR WHICH APPLICATION IS MADE AND I COMPCY WITH THc STATE <br /> CONTFACTOFS L4W 18.27 FCW AND 296200 I NAC. <br /> - � � /� `� �- FEE <br /> Signature Date �0zD3-o7� <br /> ELECAP(REV fl2001� <br />