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ELECT�ICAL PERMIT AR"�'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� ���� S� <br /> PROJECT ADDRESS <br /> Gn.�� t�on� yArl.� � ���- UBf�sr �i.� Lve��,� �/A �j�-�U3 252-2315 <br /> � <br /> Ownet Meil Address City StetelLi <br /> P Phone <br /> Tenant ' Meil Address Ciry State2ip Phone <br /> . A�/./� n-'�� <br /> ElecMcal Cantractor Mail Address C�ry StatelLip� Phone <br /> State License Number Contract Pnce of Work <br /> x 0"iC� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dona: �i} D G(p��(/�,r.� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPAOVED 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 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 ON 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 CONTROI 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 /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPL(CATlON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> NOT,VTH/E GR�NTING OF A PERMIT DOES NOT PReSUME TO/GIVEPAU�NOR�TY TO/VIOL4 E ORPCANCEL THE PROVISIONS OF ANY O'THER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TNIS PROPERTY TO PFRFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE S7ATE <br /> CONTRACTOqS LAW 18.27 RCW AND 296.200 WAC. <br /> �'�'Qa� FEE <br /> Sigaature Date <br /> ELECAP(REV 82001) �Z�_�.7 <br />