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� <br />� <br />ELEC�..�ICAL PERMIT APr LICATIQ�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />L2oq- ZIS�r S r: <br />PROJECT ADDRESS � � _ <br />Owner <br />Tenant <br />— <br />, <br />Mail Address <br />'ZZc;� ° - 2 � S � ,C� � <br />Mail Address <br />Conlractor Mail Address <br />N /� <br />State License Number <br />�'7�--5�D��C� �j'21M�9 k�) <br />Proposed Us= o( 9uildirg <br />Description of Work to Be Done: <br />.�c� << <br />Ciry <br />City <br />Ciry <br />�.� d L� LJ (� I N <br />g8� <br />Stale/Zip <br />State2ip <br />State2ip <br />C ta5)�Z�°�r4�.�3 <br />Contract Price of W ork <br />Contact Person (Plan Review) <br />Phone <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 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 BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS 14 REQUIREU TO BE IN HACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES GN WALLS <br />WITHIN ACCESSIBLE SPACES OFi 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 />ENVIFONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT 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 THAT 1 HAVE READ AND EXAMINED THIS APPL��ATION AND KNOW 'HE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS/ONS OF LA WS AND ORDINAPJCES GOVERNING TN/S TYPE OF WORK WILL BE L�'APLETED WHE7HER SPECIFIED HEAEIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE F ROVISIO�'S OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTlON OR THE PERFORMANCE OF CONSTRL'CTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WH/CH APPLICATION IS MACE AND I CGMPLY WITH THE STATE <br />CONTRACTORS 1�7W 78.27/'RCW AND 296.200 WAC. <br />� � /� �i <br />C �..�.=�r�+-r� /l�i , r <br />� <br />�. � <br />Signature <br />ELECAP(REV 8fZ00i) <br />Data <br />F o I i l�-�zS <br />FEE <br />