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ELEC��ICAL PERMIT Af �LICATION <br />;ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� ���3 ' o�k� -�.� I�� F <br />PROJECT ADDRESS � <br />�,- r� ��� <br />Owner <br />Tenant <br />L �z' OCyC <br />Electrical Contractor <br />Mail Adtlress <br />Mail Address <br />Maii Address <br />�vLc��-t /fE�/ 9�Y <br />State License Number <br />��f�C'�cr�,//�2 / <br />Proposed Use of Building <br />Description of Work to Be Done: j'�.� !J�C� <br />Ciry <br />.� <br />�-� <br />Slate2ip <br />, State2ip <br />� <br />r i���, % <br />State2ip <br />lu �3s� -30 <br />Phone <br />Phone <br />'ll.� �l,d•ln.f�'lnfi..� <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />Phone <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 CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPiACLES 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 OTHEA CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIDLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F ANO NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CEFTIFY Th'Ar 1 HAVE FcAD ANO E,rAMINED THIS APPLlCATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOV/SIONS OF LAWS ANO ORDINANCES GOVERNING tHIS TYPE OF WpRK WII L BE COMPLETED WHETHER SPECIFlED HERE/N OR <br />NOT, THE GRANTING OF A PERM1IIT DOES NOT PRESUh1E i O 61VE AUTNORITY TO VIOG1 TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LiW FEGUL.ITING CONSTRUCT/ON OF THE PEFFORh1AA'CE OF CONSTRUCTION. THAT I AM AUTHCh71ZED BY THE <br />OWNEF OF THIS PFOPERTY TO PERFORhf THE WOFI( FOR bYHICH APPLICATlON IS MADE AND 1 COh1PLY WITH 7HE STATE <br />CONTRACTOFS LAW iB.27 FCW AND 296.200 WAC. <br />ELECAP(REV 8I2001) <br />FEE � �[fV� <br />.� <br />� vd05 / � � <br />