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� <br />ELECi ��ICAL PERMIT AP� LICATION <br />CITY OF EVERETT PERNlIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />'t / � 7 �OGllLfk'LL�,L <br />PROJECT ADDRESS <br />A,.ir �Pcai S�i'l,✓rcrt-r �9��- 2ea� <br />Owner <br />Tenant � <br />nw�E2 / s� �.�= <br />Electrical <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />� �i�.iTl/ ?�/P'- <br />State2ip Phone <br />StatelLip Phone <br />Ciry � Slate2ip J,� Phone <br />� / ��� � <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />NQTE: 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 REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OF ALONG ACCESSIBIE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC :i1-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEa OPERABLE EdUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAV[L 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 />1 HEFEBY CEFTIFY THAT 1 HAVE FEAD AND EXAM/NED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISICNS OF L7 WS AND ORDINANCES GOVEFNING TH/S TVPE OF WOFK WILL BE COMPLETED WHETHEA SPEGFIED HEREIN OR <br />NOT. THE Gn^ANTING OF A PEFh1IT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOVIS10NS OF ANY OTNER <br />STATE OR LCCAL LibV REGUL;ITING CONSTFUCTION OR THE PEFFORM1fANCc' OF CONSTR'JC71CN. THAT I AM AUTHORIZED BY THF.• <br />OWNEA OF THIS PFOPEFTY TO PEAFORhI THE WOFK FOR LVHICH APPLIC.:710N IS MADE AND 1 COMPLY WITH THE STATr <br />CONTRAC70RS 41W 18.27 FCbY AND 296.200 WAC. <br />Signawre <br />��� (l/_0 � <br />Date <br />ELECAP�Rc`/8.2�01) � ozr6 -o � <br />FEE <br />