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ELECIC�ICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> qsi o - /s%,�v� s,C <br /> PROJECT ADDRESS <br /> �3�e �i�ni i� o.�r J �ti � <br /> Owner Mail Atltlrass Ciry Slate/Zip Phone <br /> Tenant � Mail Adtlress Ciry State2ip Phone <br /> �r �C� itiT►/ ,Ec..��irv � ro i�� <br /> Electncal Contractor Meil Address Ciry SlatelZip Phone <br /> �l � C,iiv,� Coo3NS' <br /> State License Number Contracl Pnce af Work <br /> s r.� <br /> Proposed Use of Bwlding Cantact Person (Plan Review) <br /> Description of Work to Be Done: N�W f%=� .Z Q U /; (J � �, -�j�(�/(,� <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 B'c 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-DWELLING's IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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 W ITHIN THE REACH <br /> FANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAh1/NED THIS APPGCA710N AND KNOW rHE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SlONS OF L7 WS AND OADINANCES GOVEFNING THIS TYPE OF WOFK W/LL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> NOT, 7HE GFANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OW 7E OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL UW AEGUGITING CONSTRUCTION OR THE PERFORMANCE CF CONSTFUCTION. THAT I AM11 AUTHOFIZED BY 7HE <br /> OWNEr7 OF THIS PFOPEATY TO PERFORM THE IVOFK FOfl WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTAACTURS LAW 79.27 RCW AND 296200 WAC. <br /> /� 2 � y— G�j FEE//".- 00 <br /> ignaWre Date '� � <br /> ELECAP(REV 812001) �a3�z..�r�-( <br />