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� <br />ELE <br />� <br />i RICAL PERMIT Ai�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�'"3�, .�� � <br />P�R�Or�JECT/ADDRE � �// // <br />�// /��J o �CO.//. �t� / .� % Z /J�.Gt.�Ln� <br />��� <br />Tenant <br />Mail ACdress <br />Mail ACOress <br />Electric�l Contractor �iNaii nddress <br />/�L�HA�G 20���' <br />State License Number <br />% /fi.J`� [�C.(%L�CL:[iZa <br />Pro osed Use of Building <br />Description ot Work to Be Done: <br />Ciry <br />Ci�y <br />Ciry <br />Slete2ip <br />Stete2ip <br />State2ip <br />Contracl Price af Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK A7 EDUCATIONAL, FACILITIES UTILIZING STATr. FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST ;,'HOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WI�L BE ISSUED. WAC 296•46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 �NCHES 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 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 />fHEFEBY CEATiFY THAT 1 HAVE READ AND EXAMINED TH/S APPLlCATlON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS Tl'PE OF WOAK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GFANTING OF A PERMIT OOES NOT PFESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEH <br />STATE OR LOCAL U1W REGUL4TING CONSTFUCTION OR THE PERFOflMANCE OF CONS7RUCTION, THAT 1 AM AUTHORIZED BY TNE <br />OWNER OF 7HIS PFOPERTY TO PEFFOFM THE WOFK FOR WHICH APPLlCATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFS LAN' 78.27 RCW AND 296.200 WAC. <br />Signature <br />ELECAP�REV 8l20011 <br />— y— c <br />Date <br />t OZO�n-LY�{' <br />FEE� 3 j � <br />