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� <br />� <br />ELE� �'RICAL PERMIT A`wPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />- ezol�i �o(',Ke����L i�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />MailAddress <br />�chY�, �h�c►�ir, Cv�� - 3�0� i9� s1'su <br />Electncal Contractor Mail Address <br />f�nv� c�o� i�5 <br />State License Number <br />Propos��d Use of Buiiding <br />Description of Work to Be Done: <br />Ciry <br />Ciry <br />-L�r <br />State2ip <br />StotelLip <br />4,�5-a58-�5 <br />Phone <br />Phone <br />`1SU3lo �425) �74-(n(�13 <br />SiatelZiP Phone <br />� Il� . cp <br />Contract Pnce of Work <br />Contact Person (Plan Review) <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 296-4fi-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEPLTH CAFE 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 RECEPTACLES ON WALLS <br />WITHIPI ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR�VEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEG. 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 THE FLOOR. <br />I NERE9Y CE.4TIFY TNAT I HAVE FcAO AND EYAAf6VED THIS APPUCA710N AND KNOW TFfE SAME TO BE TnUE AND COFAECL ALL <br />FFOVlSfONS OF W WS AND OROINANCES GOVEFNWG THIS Tl'FE OF WOFK WILL BE COMPL�ED WHETNER SPECIFfED NEn'EIN OF <br />NOT THE GRANiING OF.4 PEFiM1AT COES NOT PFESUME 70 GlVE AUTHOFITY 70 VIOLATF. OR CqNCEL THE PFOVIS10N5 OFANYOTNER <br />OWNE.4 OF�THIS PFOFERiY TO P a�FOFMUTiiE WOF,Y FJA LYHl�CHLtAPPL/CAT/ON S�hfADE AND 1 COMPLY NITHIZT1iE STATE <br />CONTF,jC�OFS LAW iB.27 RCW AND 296.200 WAC. <br />Signature <br />ELECAP(REV 8�7001) <br />Date <br />G d����� 0�5 <br />(�� FEE <br />