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�,��. ELECT��ICAL PERMIT AP�� �ICATION <br /> ��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Sro'd: v S c.ti �i �. ,-s7` �v c Lo 7� .,2 <br /> PROJECT ADDRESS <br /> ��a ,� L�n fr�- ,., r,r �> � <br /> Owner Mail Address Ciry Stata2ip phone <br /> Tenant � Meil Atltlress Ciry StetelZip Phone <br /> /1/ • � ",�r-� .C'I �, • 5 s� � L 3 6 � , <br /> � <br /> Electrical Contrector Maii qddress Ciry �L �S� ;P �✓ � phone d STA' <br /> _/1!_O r����Y u��5/�IQ <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plen Review) <br /> Description of Work ro Be Dane: („i/, y.K /'�/ w ��m JO ,Q�,.� �� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZI�lG 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 FACIIITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC 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 MOUNTED A NIINIMUM <br /> OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC.3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEAT/FY THAT/HAVE READ AND EXAMINED TH/S APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISlONS OF LqWS AND ORDINANCES GOVeRNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRAN7/NG OF A PEAMIT DOES NOT pFESUME TO GIVf AVTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> STR7E OR LOCAL lAW REGULATIA'G CONS7fiUC7/ON 0.9 THE PERFORMANCE OF CONSTRUCTION. THqT 1 AM AUTHORIZED BY THE <br /> OWNEA OF 7HI5 PROPERTY TO PERFORM 7HE WORK FOA WHICH APPLICATION IS MADE RND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7g,27 RCW AND 296200 WAC. <br /> �0 `��G '�� <br /> �- • (�5-�,� S�i�/o z FEE <br /> SignaWre Dale <br /> ELECAP�REV 8/2pp1) <br />