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ELECc �ICAL 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 /> I � � � ��Lt( �' � ��Q <br /> PROJECT ADDRESS 1 � ' <br /> �i,� �� ��,�Pr�,�. �3i1 �Ucd(�erA�e �JPr�P�� �/ � y�als� ' <br /> Owner Mail Address City Sta�efLip Phone <br /> Tenanl � Mail Adtlress City State2ip Phone <br /> Electrical Conlractor Mail Adtlress Ciry State2ip 7hone <br /> Stale License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work io Be Done: C�'-1 P r0.�u 0 �l S U\ (��E'C I ����� <br /> NOTE: PLANS FOR ELECTRICAL �NORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S 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 NOPJ-DWELLINGS IS REQUIRED TO BE IN RACEWAI'S, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A fv11NIMUM <br /> OF 15 INCHES ABOVE THE FLUOR, WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCrSSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3706(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY 7HAT I NAVE READ AND EXAMINED THIS APPLICA'fION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIfO HEREIN OR <br /> N07, THE GFANTING OF A PEFMIT DOES NOT PFESUMf TO GIVE AUTHORITY TO VIOLATE Ofl CANCEL THE PFOVISlONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULiTING CONStRUCT/ON OR THE PEFFORMANCE OF CONSTqUCT10N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV 70 PERFORM THE WOFK FOR WHICH APPLICATIOA' IS MADE AND I COMPLY NJITH THE S7ATE <br /> CONTRACTORS I�7W 782i FCW AND 296.200 WAC. <br /> � <br /> � �'�.—'� �l�'�11:��='-�� ��1`6I V� FEE <br /> ,_ � �Signature Da�e�— <br /> ELECAP(FEV�OOII �U �b� ���� <br />