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� <br />ELECT�IGAL PERMIT AP�'LICATI�IN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� l�,L ,e _f�.�en c�/,� 9�,�> <br />PROJECT ApDRE3 ` <br />�� f <br />� �n/ �S��UC'/%OJ �� ��X �.� ��1l�L/L%�,lJ C��.P' /Jl<i7� ?�" <br />Gwner <br />Tenant <br />Electrical Contractor <br />�� � �y3'4'T <br />Stale License Number <br />S«- <br />Proposed Use of Building <br />Description of Work to Be Dane: <br />Mail Adtlress <br />Mail Address <br />Mail Address <br />Ciry <br />Ciry <br />Ciry <br />Slate7Zip <br />Slate2ip <br />State2ip <br />Phone <br />Phone <br />u�i� /P�� <br />Phone <br />Contract Price of Work <br />� /�3� <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONA�, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED Bl' THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STAiE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br />EDUCATIONAL FACILIT�ES AND ALL HEALTH CARE FACILITIES PL4NS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES UN 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 />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPEPABLE E�UIPMEIJT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 57-20 SEC. 3706(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I NEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED iHIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECL ALL <br />PROVISlONS OF L7 WS AND OROINANCES GOVERNING TH1S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME 70 GIVE AUTHOFITY TO VIOUTE OR CANCE_ THE PROVISIONS OF ANY OTHER <br />STArE OR LCG4L LAW AEGUL4TING CONSTFUCT/ON OR THE PEFfOliMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPEFTY TO PERFORM THE WOFiK FOR LVHICh APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SignaWre <br />� /3 FEE /� -� <br />oate f ��� <br />ELECAP�REV B/200�� <br />c o30� �osa <br />