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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> lD.��C) l�''� �.�- '', <br /> P JE TADDRESS t�ZS"�' <br /> �� ri/aU P led �y�19-/a�' Sf.s� �l'2ve7fzc�A q�zab' ,33�a�5 <br /> Owner Mail Atldress City Slate/Zip Phone <br /> �A�Q��%0��� <br /> Tenan� Mail Address Cily Slate/Zip N ptyoe y./7 — <br /> Z b i 'Y� <br /> �fin ��Pr_�ri�FT_ ��C�i�/,�nd�S�Svr/#A ��li��u�/, r.c�,� 9�a3� oa5z <br /> Eleclrical Conlrector Mail Atldress City Stale/Zip Phone <br /> /7/�"1��7�'�5 �ZzUa� <br /> Stale License Number Contract rice of Work <br /> ��� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: ,�N�/l bW��'1� ��%��v�C� ����Ri �F/�/P�� ,�N� // <br /> ,�� J p / � r o� <br /> �Ol�� U"Cl19P/i ��/C /(�G✓ �o i/�o�i�5 ��i3- .S�P/I l�i� �i s�/J 45 �/Or�Pi <br /> �. . -��T� <br /> �!/iQG1 G��ecci/s'i, <br /> NOTE: PLANS FOR ELEC;RICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STt�TE FUNDS MUST BE <br /> APPROV'ED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOiN THE STATE <br /> APPROVED PLANS BEFORE CIiY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. A�L OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALThi 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: ELECI'RICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WAL;.S <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMI:M <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 REAChi <br /> RANGES OF WAC 51-20 SEC.3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION ANO KNOW THE SAME TO BE iRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF WORKW/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> O!2 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTliORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LA W 78.27 <br /> RC W AND 296.200 WACiJ/ <br /> / � <br /> � <br /> ���� ��Z��C/J FEE <br /> �Signature / D�1 _ <br /> J l <br /> ELECAP(REV 812W 1) <br /> ,;�L�= - /-� ,7 <br />