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� <br />� <br />ELEQ' 'RICAL PERMIT A� ?LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />ti5C1 klhmorr �dt Lvei'e(�, u//1- �Y�Z03 <br />PROJECT ADDRESS / <br />h�7� � KP� o ICPII�� �v� SGut{ Q 1 al,oVr 4� �Ui 3 70� <br />� , � <br />Owner Mail Address Ciry Stete2in Phone <br />I(%�r( 1<Pi�LI(y li i,n u1� n( /1(�1YP <br />Tenant � Meil Address Ciry �tatelZip Phone <br />baJ;��r <br />ElecMcal Contractor Mail Address City Stete2ip P�one <br />NI� <br />State License Number <br />/°SI/�Y11CP — 5 � � <br />Proposed Use o( Building <br />DescriFtion ol Work to Be Done: <br />N/,� <br />Contract Price of Work <br />ml �PiO <br />Contect Person (Plan 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 WILL BE REVIEWED BY THIS OFF;�E. <br />NOTE: WIRING IN NON-DWELLINGS IS RE4UIRED TO BE IIJ RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI. 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 SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN 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 CEFTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PFOVISIONS OF LAIYS AND ONDINANCES GOVERNING TH/S TYPE OF WORK WI�.L BE COMPLETED WHETHER SPECIFIED FIEREIN OF <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Oq CANCEL THE PROVISIONS OF ANY JTHEH <br />STATE OR LOCAL LAW FEGUL4TlNG CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. TFI�iT 1 AM AUTHORIZED BY THE <br />OWNEA OF tHIS PROPERTY TO PERFORM THE WOFK FOF 4VHICH APPLICATION IS MADE AND 1 COMPLY WITM THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />�-�,�� -�� <br />Signature <br />ELECAP(REV fi/20Ct � <br />Data <br />FEE <br />