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ELEC�'RICAL PERMIT A�?LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� <br />/� z7 WA�C-�vu7' i9 # B <br />PROJECT ADDRESS <br />iVHL/_jf3 �H �0�✓ST ��31 Hid/�CAN,I� /�V� ,Ev.wA 9yz�l y2s Zs�-7S�o <br />Owner <br />Tenant <br />Mail Adtlress <br />Mail Atltlress <br />n,ry �u��Tie�� � <br />tractor Mail Adtlress <br />Mcc�irv�coa3nrT <br />Slale License Number <br />�ES .11ur P�� <br />Proposed Use of Building <br />Ciry <br />Ciry <br />rN c. <br />ary <br />SWte2ip <br />StatelZip <br />sie�arz�p <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Description o1 Wark to Be Done: t.J 1 1�1= N 1= W .ji �,,1 %�l.Tc�?(' .'Z^ � 0 U /i Mf <br />�-u M U u:Jv 7 rYtC <br />Phone <br />Phone <br />Phona <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 BE 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-DWELLINGS IS REQUIRED TO BE IN RACE.WAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMU�ICATIONS 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 Of; ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 57-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFE9Y CEA7IFY THAT I HAVE READ AND EXAMlNED THIS APPUCATION AND XNOW THE SAME TO 8E TRUE AND CORRECL ALL <br />PFOVISIONS OF L7WS AND ORDINANCES GOVEANING THIS TYPE OF WORK lM1'ILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />N07, iHE GFANi ING OF A PEFMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLAiE OR CANCEL THE PROVISlONS OFANY OTHER <br />STATE OR LGCAL L1W FEGUIIITING CONS7RUCTION OR 7HE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFFOFM THE WOFY, FOR WHICH APPLICAT/ON IS MAOE AND 1 COMPLY W17H THE STATE <br />CONTRACTOFS LAW 78.27 RCW AND 296.2G0 WAC. <br />ELECAPIRE'/ Bf2001 � <br />Date <br />� Cj"olL�e-0� <br />FEE <br />� ►1 0 °� <br />