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ELEC� 11CAL PERMIT AP. LICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� OZ ���%E7'n�tu �c �-VE <br />PROJECT ADDRESS <br />2L I�E� <br />Owner <br />Tenant <br />MailAdtlress <br />Mail Address <br />Ciry <br />City <br />Stete/Zip <br />Stete2ip <br />Phone <br />Phone <br />� �h�iJ� � <br />Elecincal CoNractor Mail Address Ciry State2ip Phone <br />Elate License Num6er <br />C qRAL�E <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: Z� ,,d-wj P SCrZ�/I(� Tc� NE tn/ �ig��E . <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 SHUW THe STATE <br />APPROVED PLANS BEFORE CITY pF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL NEALTH CARE rACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OF 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 />ENVIHONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 HEAE9Y CE.4TIFY THAT ! NAVE READ AND EXAMINED THIS APPL/CA770N ANO KNOW THE SAME TO BE TRUE ANO CORflECT. ALL <br />PROV15lONS OF L4 W5 AND ORDINANCES GOVERNING fHIS TYPE OF WOAK WILL BE COMPLETED WHETHEF SPECIFIED HEREIN OR <br />NOT, 7HE GRANrING OF A PEAMIT pOES NOT PRESUME rp GIVE AUTHORITY TO VIOL4TE CF CANCEL THE PRC .7SICNS OF ANY OTHER <br />STATc' OF COCAL LAW REGULATING CONSTAUCrION OF � HE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR/ZED BY THE <br />OWNER OF iH1S �'FOPER7Y TO PEFFORM THE WCFK FOR WHICH AFPLICAilON IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTOFS LAW 19.27 RCW AND 296200 WAC. <br />Signature <br />ELECAP�REV Bf2001 � <br />Date <br />ZO(JZ <br />F �%f'i1.-�i'� <br />FEE <br />