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ELEC ICAL PERMIT AP ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 42E 57-8857 <br /> /OOiS�,s'>��y,e sE �,�z��T i�>.YJ 9B=v9 <br /> PROJECT ADDRESS9 <br /> G/��Ol �.t�ciE�/ C/� S�/�'�� t�5 /I-��✓t <br /> I Ownef Mail Addrass CNy State2ip Phono <br /> .S/�m c �S /�I b��C <br /> Tenant Mail Address Cily SWtc�Lip Phonn <br /> D�l �e(� <br /> EleC6ical ConVactol MailAddmss City State2ip Phone <br /> State License Number Contract Pnce of Work <br /> / �1 I L�.c.� LI V i v�'J � <br /> I � V i r<< a�..n�zTc�2s ` �3 2 �,:� <br /> Proposed Use o(Bu ding Conhact Person (Plan Reviaw) <br /> Description of Work to Ee Done: 1, �h �5 F. �1'�F1 Y�1 5✓l-P c'\ IJ«S e�'V�c v�\ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACI�ITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 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 HEALTti CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWEI.LINGS IS RE�UIRED 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 Or TRAVEL SHALL BE h10UNTED A MINiMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br /> ENVIRONMENTAL AND OTHER CON i ROL RECEPTACLES AND OTHER OPERABLE EQUIF'MENT WITHIN <br /> ACCESSIBLE ��PACES 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 CF.RT/FY THAT I HAVE READ ANO EXAMINED THIS APPLICATION�ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORICWILL BE COMPLETED WFIE7HER SPECIFfED HEREIN OR NOT, <br /> 7HE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR I.00AL LAW REGUL.9T/NG CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPER7Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND l COMPLY bVITH THE STATE CONTRACTORS LAW 18.27 <br /> RCW AND 296200 INAC. <br /> / '/ <br /> t iC���� � � Y'� FEE <br /> Signature Datc <br /> ELECAP(REV 8f2001) <br /> .�y�b�- b�/ <br />