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ELECI� .ICAL PERMIT APt �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, bVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ i IR a� i���fw� S,� ����t y s �� <br /> PROJECT ADDRESS <br /> C1�-N af ����tr� <br /> O ner Mail Address Ciry Slate2i <br /> P Phone <br /> c � <br /> : '1HfL�ss l /�{f Sq-+n4 r�s /�-Kou� :�oG- �83 - 3430 <br /> cjZS' �7`I—� a �Y <br /> �Tanant � � �Adcy§�S� City State2ip Phone <br /> �1�,1 l/' �,lA ?� <br /> EleC�riCal ContraCtor Mail Address Ciry State2ip Phone <br /> State License Number Contract Price of Work <br /> T4/2i�-i ��f{s <br /> Proposed Use of Building Contact Pers (Plan Review) <br /> Description of Work to Be Done: (tJOR (C !'IAs !�ct:� L�or�lctn — �thn H t�� i n�i�rvfi OA� <br /> NOl'E: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UT!LIZING 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 /> EDUC,ATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS 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 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 OPEAABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> P,ANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBI'CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TfiUE AND CORRECL ALL I <br /> PROVISIONS OF LAWS AND OqDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR j <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER '� <br /> S7ATE OR LOCAL LAW R�GULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PROPERTY 1'O PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE � <br /> CONTRACTOAS LAW 18.27 ACW AND 296.200 WAC. . <br /> �/,,� I <br /> l�Iw1X.c�' C� . �a /lI7�0/ FEE � <br /> SignaWre Date � <br /> ELECAP�REV BI2001) <br />