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� <br />� <br />ELEC� r�ICAL PERMIT APrLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX �25-257-8857 <br />� <br />:-�:: ,.�d�iy�-,. . <br />���_��._ . ♦ <br />-• �..- <br />Owner <br />Eiectrical <br />Q1� L <br />Mail Address <br />Mail Address <br />�� N <br />Mail Address <br />, � �,t�NC, ia 7 �� <br />State License Number <br />Pr�posed Use ol Building <br />d <br />Description al Work to Be Done: <br />City <br />Ciry <br />y��=� <br />City <br />SlatelLip <br />0 � ei�J�Do? <br />StatelZip <br />n <br />a 1 no � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />'. �.9/GG <br />Phons <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS MUST B� <br />APPRQVED 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 BYTHIS OFriCE. <br />NOTE: WIRING IN NON-DWELLINGS 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 OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL OE 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 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 HEREBY CEATIFY THA7 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAhlE TO BE TRUc AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN(NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHORI N TO VIOL47E OR CANCEL TFiE PFOVISlONS OF ANY OTNER <br />STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OR � HE PEFFOqMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTY TO PEAFORM THE V'�ORK FOR WHICH APPLICATlON IS MAOE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 29�.200 WAC. <br />/; � , � <br />Signature <br />ELECAP(REV BI200I � <br />EDz�3-�Q3 <br />_ �� _b.� FEE <br />Dote <br />