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ELECT�ICAL PERMIT AP��LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> ',25-257-8810 - FAX 425-257-8857 <br /> i <br /> I l� 11 '� !'(�,,�. % - <br /> PROJECT ADDRESS ° <br /> �� � ��Li`� 5 � ✓-�� � �'� �� ��i�c�(,P.-y' � [�/��i�� lf��,t� � <br /> Owner h7ail Address Ciry State2ip P�one <br /> Tenant M11ail Address City State2ip Phone <br /> i <br /> % r � ' � <br /> Electrical Contractor Meil Address Ciry State2!p Phone <br /> State License Number Conlract Price of Work <br /> Proeosed Use ol Buiiding Contact Person (Plan Review) <br /> Dasr,ription of Work ro Be Done: � �� 111������ ��f��� � �/����''� <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 8E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COM�AUNICATIONS SYSTEM RECEPTACLE9 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 /> RANGES OF WAC 5E 20 SEC.SN 6(b)4CE & FI AND NOUT LES�S THAN 36 INCHES ABOV�E THE D WOIOTR IN THE REACH <br /> 1 HEFEBY CEFTIFY rHA71 HAVE READ AND EXAMINED TH/S APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF IAWS AND OFDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETNER SPEClFIED HEREIN OR <br /> NOT. 7HE GFANTING OF A FEFiM1T DOES NOT PAESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> OWNEA OF�HAS PFOPERTY TO PER�FORMUTHTE INOFKTFOR WH�CHMAPPLICATGONSSRMADE ANOHACOMPLYUWI�TH'THEBSTATE <br /> CONTRACTOFS LAW 7827 FCW AND 296.200 WAC. <br /> f "l�' � v �/� I � ` �G � FEE <br /> Signature Dete <br /> ELECAP�REV 812001� F�a(��OCI� <br />