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i <br /> , <br /> ELECTRICAL PERMIT APPLICAI'10N <br /> CITY OF EVERETT PERMlT SERVICES �`Z�_�S <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 �OSC'J�'j —�� <br /> 1 I �l I `1 1 `��4� {�-�e� S � # � <br /> ����� �� � <br /> P JECT AD RESS ' �' '� G �>c k' ( �' �-j <br /> ��-�-�- . � �1. /� S��z� f/�.� ���� ��� s���� <br /> OWnef ~ Mail Atldr s City State2ip Phone <br /> � SY�'lc�� S �t6 � <br /> Tenant Mail Address Cily StaterZip Phone <br /> NORTHLANll ELLCCRIC INC � � _ <br /> Electrical Contractor Mail Address City '=late/Zip Ph ne <br /> OZ� .,l�y �� r <br /> NOI2THEI21879 �l ��� ` �' <br /> State License Number Contract Price o Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �/ /� 7 <br /> Description of Wark to 8e Done: - r�' � �-- �, r5 - ��= r'1 1���r i\n�-�%ty�f • <br /> J ' <br /> : <br /> i <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 EVERFTT 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 NOIJ-DWGLLINGS 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 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 /> I HEREBY CERTIFY Ti1AT 1 HAVE READ AND FXAMINEC THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OFWORK W(LL BE COMPLETED WMETHER SPECIF/ED HEREIN OR NOT, <br /> THE GRANTING OF A PERh41T DOES NOT PRESUME TO GI L'E AUTHORITY TO VIOIATE OR CANCEL THE PROVIS/ONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR iHE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPcRTV TO�ERFORM THE WORK FOR WHICH APPLICATION I S MADE ANO I COMPLY W1TH THE STATE CONTRACTORS LAW 18.27 <br /> RCW AND 296200 WAC. <br /> � � �'- � �) l �� � FEE �.�� <br /> � ��� �� <br /> tgnature Date <br /> ELECAP(REV 8i2001) <br /> J'�' / ~�/ <br />