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�� <br />ELECXiICAL PERMIT AP� LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />q � � 1��1a �� S�- <br />PFiOJE T ADDRESS <br />. <br />liv. . n— Q P1 � i-` <br />Owner <br />Tenant <br />Mail Adtlress <br />Mail Address <br />Ciy <br />Ciry <br />State2ip <br />Slate2ip <br />Phona <br />Phone <br />�Ji/.�hC � <br />Elechical Coniractor Mail Address Ciry StatelZip Pnone <br />State License Number Contract Pnce of Work <br />I� , • y! <br />�. . � . . <br />Description of Work to Be Done: <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 JOF3S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDI;CATIONAL FACILITIES AND ALL HEALTH �ARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWi,YS, M.i, 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 MOU�TED 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 E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIELE 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 FLGOR. <br />1 HEFEBY CC4TIFY THAT I HAVE RE.4D AND EXAMINED THIS .�1PPLfCATION ANO KNOW iHE SAME TO BE TRUE AND COPRECT ALl <br />PFOVISlONS OF LI WS AND ORDINANCES GOVEANING THIS iYPE OF IYOFK LYILL BE COMPLETED WHETHEft SPEClFIED HEFEIN OR <br />NOT, iHE GF4NTING OF A PERMIT DOES NOr ?RESUME TO GNE AUTHOFITY TO VIOLATE OF CANCE: THE PROVISlONS OF ANY 07NER <br />STA7E OF LOCAL LAW FEGU(ATING CONSTFUCTION GF iHE PERFOFMANCE OF CONSTFUCtION. THAT I AM AUTHORIZED BY THE <br />OWNER CF THIS PFOPERTY TO PERFORM THE WOFK FCR WHICN APPL/CATIGN 1S MADE AND 1 COMPLY WITN 7HE STATE <br />CON7FACTORS LAW 16.2i FCW AND 296.200 WAC. <br />� �_ <br />SignaWre <br />ELECAP(REV Bf2Wt) <br />-1,� � �7-� <br />Date <br />� Oa��l �� `�� <br />FEE <br />