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� <br />Owner <br />Tenant <br />Contracror <br />Slate License Num6er <br />ELEC^RICAL PERMIT Af �LICATION <br />Proposed Use ol Building <br />CITY OF EVERETT PEF.��11T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 <br />Description of W ork to Be Done: <br />�-G S-fYv�T <br />a�3� /��s�_ <br />A7ail Addtess <br />Mail Address <br />IAeil nddress <br />City <br />Ciry <br />Ciry <br />/G <br />r/,� ��raa� <br />State2ip Phone <br />State/Zip Phone <br />Statn2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK Al' EDUCATIONAL, FACILITIES UTILI2ING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASH!N6TON. APPI.ICANTS WITH SUCH J06S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT VKILL BE lSSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE R€VIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OP AC CABLE. <br />HANDICAPFED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES JN WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIB'_E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABQVF THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACi.ES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51 •<0 SEC. 3106(b)4 E 3 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION .iND ICNOW THE SAME TO BE TRUE AND COFFECT. ALL <br />PFOVISIONS OF LI WS ANO OROINANCES GOVERNING THIS TYPE OF N'ORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANrING OF A PERMIT COES NOT PRESUME TO GIVE AUTHORlTY TC� VIOL-0TE OR CANCEL TNE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L1W FEGULATWo CONSTRUCilON Ofl THE PEFFORMANCE OF CONSTRL'CTION. THAT I AM AUTHORlZED BY THE <br />OWNER OF THIS PFOPERTY 70 PEFFORM 7HE WOFK FOF WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRAC70FS L4W 1827 RCW AND 296.200 WAC. <br />^�f. �. <br />Signature <br />� ��,_ �� FEE <br />Date <br />ELECAP�REV B12C01) � o3GZ-o4 8' <br />