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ELEC �RICAL PERMIT Af �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F.AX 425-257-8857 <br />sr� S�� <br />;37oC� -�3y-� 7�U�_-rvc_� <br />�Kf1@f <br />Tenant <br />��� <br />hlail Address <br />Meii Address <br />i= � � /� <br />Tr Ih <br />Ciry <br />ciry <br />��Rl., -��l <br />, State.2ip <br />State2ip <br />cJ� . �g�3 <br />Phone <br />21 O � �(�5,2 <br />Phone <br />Electrical Contractor Mail Address Ciry State2ip Phone <br />� c_ LL '�� �`� `�' <br />State License Number Contract Price of Work <br />Praposed Use of Building <br />Descriplion of Work to Be Done: ��v S��' I�� <br />�� 12 �� �rL� �0 2 L�(.��—.S ci�;R. <br />�"�� s �{ �� �� ti L.� r�l �.ti�.�-- � <br />Contact Person (Plan Review) <br />I � AN� <br />[` <br />a� <br />E "f�{'�� <br />NOTE: PLANS FOR ELECTRICAL WCRK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WAS�iiNGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPPOVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EOUCATIONAL 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 CAB�E. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACI:ESSIBI_E SPACES OR ALONG ACCESSIBLE RGUTES OF TRAVEL SHALL BE MOUNTEO 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 EOUIPMENT N/ITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI_ BE MOUNTED W ITHIN ThiE REACH <br />RANGES OF WAC 57-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE i HE FLOOR. <br />I HEFEBY CER7IFY 7HAT I.4A VE FEAD AND EXA611NE0 T.41S APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECL ALL <br />PFCV/SlONS OF Li�VS AND OROINANCES GOVERNING THIS TYPE OF WOfi1C WILL BE COMPLETED WHETHFF SPEGFIED H.REIN OF <br />NOT. 7kc GFANTING OF A FeFM1T DOES NCT PFESUME i O GIVE AUTHOFITY TO VIOIATE OR CANCEL THE P1iOVISIONS OFANYOTHER <br />S i A7c GF LOCAL L7W FEGUL7TING CONSTqUCr10N OA TMc PEFFORMSNCE OF CONSTF:JCTION, THAT 1 AM AUTHOHIZED 8Y THE <br />OWNEF OF 7H15 pFOPERTY i0 PERFORM rHE WOFK FOR WHICH APPLICATI �N IS MACE AND I COMPLY WiTFi THE STATE <br />CONTRACTOFS L7W iH27 RCW AN0.56.200 WAC. <br />��� <br />Signature <br />ELECAPjREVA2001) <br />Date <br />��b� FEE <br />