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ELEC�gICAL PERM�7 AF �LICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> ��TT 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �Cni?� V�rivct+-si /{r/c <br /> PROJECT ADDRESS <br /> �n��s ��z3 vr��c,zcs��� r.1�i��T <br /> OWnef Mail Address Ciry State2ip Phune <br /> Tenant - Mail Address City StatafZip Phone <br /> �1I�J.l �u�-�<<' INv _ <br /> Electrical Contrac�or Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Uae of Buiiding Contact Person (Plan Review) <br /> Description of Work ta Be Done: `,+a�. y C(}��/Y� 7� NU�W 6�1`���� _ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SI:CH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> �DUCATIONAL FACILITIES ANG ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANUICAPPED ACCESSIBILITY; ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIA9UM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 5?-20 SEC.3106(c)2. <br /> ENVIRONMENTAL A?�D OTHEP CONTROL RECEPTACLES AND OTHER OPERABLE E4UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIB�E ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> :;;,�'^ES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY 7HAT I HAVE READ AND EXAMINEO THIS APPUCATION AND KNCW THE SAM11E TO 6E iFUE AND COFAECT ALL <br /> PnOVISIONS OF L1 WS AND ORDlNANCES GOVEFNiNG THIS TYPE OF WOFK WILL 8E COMPLETE� WHETHER SPEClFIED HEREIN OF <br /> NOT, THE GRANfING OF A PEFhflr OOES NOT PFESUME r0 GIVE AUTHORI N TO VIOGITE OR CANCEL THE PROVISIONS OF.:NY OTHEF <br /> STA7E OF LOCAL UlJ FEu'ULATlNG CONSTRUCTIOh OF THE PEFFOFAIANCE OF COA'STAUCTION. THAT 1 Ah1 AUTHOFIZF,D BY 7HE <br /> OWNER OF THIS PFOPER7Y TO PEFFOFM THE R'JFK FOR WHICM APPLICATICN !S MADE AND 1 COMPLV WITY. THE STATE <br /> CONTR4CTOFS LAW 18.<"i FCW AND 296.200 WAC. l� ' <br /> �, � �-,- - � r� <br /> �V L � �/�/t/L_�' !�—I�- CiZ FEE <br /> Signature Date <br /> ELECAP(REVBI2�01) � (`/Z(7�p 'd�pG <br />