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� <br />`� <br />ELEC�ICAL PERMIT AF'�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/DO� �7 — �/ S�'�Ye , � <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />S� E� CJr'-/'.-��f� Wi� <br />StatelLip Phone <br />.s�e_ y�S � ��- �n <br />TBf18�t � Mail Address City State/Zip Phona <br />Contractor <br />Mail Atldress <br />wP� �-s.� �sc�� � <br />State License Number <br />S��.c. , S�. // ' <br />Proposed Use of Bwlding <br />Description of Work to Be Done: <br />Ciry <br />v <br />State2ip <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />Phone <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 SHOVV 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 NO�J-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 SHP.LL BE MOUNTED A MINIMUM <br />OF 15 If��CHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIR <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 HEREBY CERT/FY THAT 1 HAVE RI <br />PROVISIONS OF LAWS AND ORDIN< <br />NOT, THE GRANTlNG OF A PERM170 <br />STATc OR LOCAL LAW REGULATIN( <br />OWNER OF THIS PROPERIY TO i <br />CONTRACTORS LAW 78.D RCW AND <br />Signature <br />THIS <br />THIS <br />L <br />Date <br />TO <br />7HE SAME TO BE TRUE AND CORRECT. ALL <br />:OMPLETED WHETHER SPECIFIED HEREIN OR <br />: OR CANCEL THE PROVISIONS OF ANY OTHER <br />iTRUCTION. THAT I AM AUTHORIZED BY THE <br />IS MADE AND 1 COMPLY WITH THE STATE <br />� FEE � <br />3� <br />ELECAP�REVEV2001) ���C�� /��t <br />