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Tpg it t7oS-o 1 <br />ELECTNCAL PERMIT AP0,1CATION <br />4:ff CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address <br />City 1 State/Zip Phone <br />ao.00 <br />State License Number <br />Contract Price of Work <br />nn <br />Jti _ 5FI\ <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Donp: JAWA-011AWWr <br />o r , L <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 NS BEFRE CITY OF EVERETT PERITBE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCA IONALLFACIUT ES AND ALL HEALTH CARE FACILITI SI PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS, !dC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WI 1 ACCESSIBLE <br />ES OR ALONG <br />AC ESS1B E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />5NE THE OR.S1 <br />ENVIRONMENTAL AND"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 SEC.S OR <br />3106�b)4CE 8 FIBLE AND OUTES T LESS THAN 36 INCHES ABOVE SHALL BE MOUNTED <br />FLOOR. <br />IN THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />(/ f!�-J✓i1-19 /lam "y ��Y � � ��O � FEE <br />Signature Date <br />ELECAP)REV 912001) �U�/G '� �/ <br />