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APPLICAl iON FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT. WA 98201 4ff7-r <br />PHONE. (425)257-8810 <br />FAX: (425)257-8857 <br />"IS 5 w cl kkaO� <br />PROJECT ADDRESS (b ��� /F Vr sc. <br />%x K� ���I (sYv CO-"CLAC STCV06 WA• %�5x — <br />Owner <br />Mail Address City State/Zip Phone <br />Tenant <br />Mail Address City State/Zip Phone <br />prvoom oc— <br />State2i Phone <br />Electrical Contractor Mail Address City p <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <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 BERE CITY OF EVERETT PERITWAC 296.46-14o. ALL <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITI SI LL PLANS WIILLED. BE REVIEWED BY THIS OFFICE. HER <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED 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 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 <br />WAC SPACES OR <br />20 SEC. 0310 6(b)4CE & FIBLE ANDRNOOT LESUTES S THAN 36LSHALL BE INCHES ABOVOEUTHE DIN THE REACH <br />FLOOR. <br />I HEREBY CERTIFY THAT 1 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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />07-FEE/ <br />Signature Date Faa7-o3j - <br />ELECAP(REV 898) <br />