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�� <br />� <br />ELEQ"RICAL PERMIT AF' �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E✓ERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />!� PJ �S �t%F_%Hc�C'��- <br />Vwne� Mail Address , Ciry State2lp ph�e <br />,�/� HE <br />Tenant <br />Mail Address <br />Mail AOdress <br />�,f�° �i(JiT E�G I r76 /YG <br />Stale License Number <br />K�SnOENEF <br />Proposed Use of Bwldmg <br />Ciry <br />City <br />Description of Work to Be Done: ��E'L [.-�� ,y _ � <br />�� <br />State2ip <br />Stete/Zip <br />Contract Price of Work <br />Contact Person (Plen Review) <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT Ef1UCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JUB5 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 REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIDII.ITY: ELECTRICAL AND COMIdUNICATIONS SYSTEM FiECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RCUTES 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 �NITHIN <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 />I HEREBY CERT7FY THAr 1 NAVE READ AND EXAMINED ,-HIS APaL/CATION AND KNOW THE SAME TO BE TRUE AND C.�RRECT. ALL <br />PqOV1510NS OF L4WS AND ORDINANGES GOVERNING iNIS TYFE OF WOAK WILL BE COMPLETED WHETHEA SPECIFIED HEREIA' OR <br />NOT, THE GRANTING OF A PEFMIT DOES NO r PRESUME TO GIVE AUTHORlTY TO VIOL4TE OR CANCEL THE PqCVIS10NS OF ANY OTHER <br />STATE OR LOCAC LAW qEGULATING CONSi RUCT/ON OR THE FFFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOi�ZEO 9Y THE <br />GWNER OF iHIS PRUPERTY TO PERFOR�N THE WOFK FOR IVHICH APPLICAT/ON IS MADE Ah'� I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 7827 RCW AND 296.200 WAC. <br />Signature pate <br />FEEg d� <br />�� <br />ELECAP(REV 8/2001) <br />�U'30`-i� 6l $ <br />