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ELEC�ICAL PERMIT AP� LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Co`�Ol (�)e�,�ncu�e_ rac.� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />ElecMcal Contracror <br />Mai� Address <br />Mei� Addrass <br />Mail Address <br />To���' 2� 3 �M v <br />State License Number <br />�r-R <br />Proposed Use of Building <br />Gry <br />Ciry <br />City <br />Stata2ip <br />SWte2ip <br />Stete2lp <br />:�DSO °`' <br />Contract Price of Work <br />Contact Person (Plen Review) <br />j 7 <br />Description of Work to Be Done: �� � Lf i(Lt_ (` i�C���'.l.) ����� _ C�/✓� <br />Phona <br />Phone <br />/ �} �' <br />Phona <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 PIANS BEFORE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED 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 1A'ALLS <br />W ITHIN AC�ESSIBLE 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 SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEAE9Y CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PFOVIS70NS OF lAWS AND ORDlNANCES GOVEANfNG THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br />NO% 'fHE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR LANCEL THE PROVISIONS OF ANY OTHER <br />STAi E OR LOCAL LAW FEGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSiRUCTION. THAT I AM AUTHORlZED BY THE <br />OWNEA OF THIS PFOPERTY TO PERFORM THE WOFK FCR WHICH APPLICATlON 15 MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br />> FEE <br />ELECAP(REV 8/2001) � p,ZD a-G l S <br />