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ELEC(� RICAL PERMIT AI� �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� o a — � �1 'P i_ s c— L o �r a � p�fi YL.� � w o � � <br /> PROJECT ADDRESS <br /> �hrnp� I�II�T�-r__ IR1�P�K�=1�.�,etti5���lr+,kz�4e�e�� (�a�SP� �t�-'3��f��9'l <br /> pyv er . Mail Address City Stale!'fp Phone <br /> Tenant � Mail Address Ciry State2ip Phone <br /> ��o r-k�1v��C��c�,��,JSe.ru� .() &�x g�� j�,,l�l�,�-�r,� i,171� 4'�'.�3�`�.�,`,i.5��� � <br /> ElectriCal ContraCtor Mail Address � StutelZip phone <br /> �n,�����olCz .� 3 , �I-9 0 . � c� <br /> tate License Num er Contract Price of Work <br /> ' h� ` <br /> roposed e of Building Contact Person (Plan Review) <br /> � .. <br /> Description of W ork to Be Done: <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES 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 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 /> ENVIfiONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER O!'ERABLE 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(C)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEI7EBY CE�T/FY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISION.: OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIEO NEAEIN OR <br /> NOT, THE�RANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY O7HER <br /> STATE JR LOCAL LAW AEGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNF_R OF THIS PROPERTY 70 PERFORM THE WORK FGR WHICH APPLICATION !S MADE AND 1 COMPLY WITH THE STATE <br /> COfJTRACTORS L4W 18.27 RCW AND 296.200 WAC. <br /> n <br /> �� � .�'1��. � __/�— � / � �i FEE <br /> � �� <br /> Sgnature Date <br /> ELECAP�REV Bf2001) ��7�I'D3`1 <br />