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�. <br />ELEC"'RICAL PERMIT AF �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� �C� � L �� M�-C <br />PHOJECT ADDRESS <br />Owner <br />Tenant <br />Mail Adtlress <br />Mall AOdress <br />Contractcr Meil Address <br />��S1��P� <br />S et le License Number r <br />Proposed Use ol Building <br />Description of W ork to Be Done: <br />Ciry <br />Ciry <br />Ciry <br />StetefLip <br />State/Zip <br />State2lp <br />3�-I5� <br />�JAe r'�C Z� � <br />Phone <br />Phone <br />b 33S-Z� i <br />Phone <br />Contract Price of Work <br />Contact Person (Plen Review) <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 W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RNCEWAYS, MC OR P � CABLE. <br />HANDI�APPED ACCESSIBILITY: ELECTRICAL AND COMMU�aICATIONS SYSTEM RECEPTACLES OiV 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 E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAL� BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51•20 SEC. 3706(b)4 E 8 F AND NOT LESS THAN 36 INCHES A00VE THE FLOOR. <br />1 HEREBY CEFTIFY THAT 1 HAVE READ AND EXAMINED 7HI5 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRE:T. ALL <br />PRGb1510N5 OF L7 WS ANO ORDINANGES GOVEANING THIS TYPE OF WOF+K WILL BE COMPI.EiED WHETHEF SPEGFIED HEREIfJ OR <br />NOT, THE GRANTING OF A PEFMIT �JOES NOT PFESI'ME TO GIVE AUTHCFITY TO VIOLA7E OF CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LA W REGULA7ING CONSTRUCTION OR THE PEFFORh1ANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br />OWNEA OF THIS PFOPERTV i0 PEFFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS L4W 18.27 RCW AND 296.200 WAC. <br />Signeture Date <br />ELECAP�REV 8R001) E d 3o a- i o a <br />FEE <br />