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ELEC�RICAL PERMIT A"` PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE?, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />����6 3��r1, �5�: , �ve�t� 9�?0 <br />PROJECT ADDRESS <br />�i�n11 �nN��k4'ft?.� ���� �h���.�� <br />Owner ' "r"' <br />�/� <br />Tenant <br />tJ� <br />Electrical Contractw <br />State License Numh� <br />�ql, �ar��. �.cs� cl.��� �� a I <br />Pr osed Use of 8uilding <br />Description of Work to Be Done: <br />Mail Adtlress <br />Mall Address <br />Mail Address <br />City <br />City <br />City <br />�ndi-I-inv� a�ld+ <br />C� 7A/n = <br />State/Zip <br />State/Zip <br />State�Zlp <br />Contract Price of Work <br />—� _ ��-��z <br />E� U� L� : _U� i[ <br />0f Na5;�5�-�Q6��5 <br />Phone <br />Phone <br />Phone <br />��a k S���IS�l��N✓� <br />Contact Person (Plan Review) <br />NOTE: PI.ANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICAWTS 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 8Y THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R.4CEWAYS, 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 CONTROL 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 />1 HEAEBY CERTIFY THAT 1 H.AVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFiRECL ALL <br />PFOVISIONS OF Li WS AND OFDINANCES GC7VERNING THIS TYPE OF WOFK WILL BE COMPLETE� WHETHEA SPECIFIED HEF'E1N OF <br />NOT, THE 6RANTING OF A PERbfIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOL'ITE OR CANCEL THE PROVISIONS OF ANY JTHEA <br />STATE OR LOCAL L.AW FEGUL7TING CONSTnUC710N OF THE PERFORh1ANCE OF CONSTAUCTION. THAT 1 AM AUTHOR�ZED 8Y THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WOnK FOR WHICH APPLICATlON /S MADE AND ( COMPLY WITH THE STATE <br />CONTRACTOFS L.:1W 18.27 FCW AND 296.200 WAC. <br />_� <br />Date <br />—��2 FEE <br />ELECAP(FEV BYL001 � � <br />�cZcl-o(p 1 <br />