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ELEC�I�AL PERMIT A�LICATION <br /> = CITY OF EVERETT PERMIT SERVICES <br /> � � 3200 CEDAR STREET, EVERETT, WA 982f11 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 5�a y fv f I+ (Jl`��e 4�c5� <br /> �ve:r�--r-r, i,,�q �� gzo3 <br /> PROJECT ADDRESS <br /> J��1�e1��welln��r s��� �o�,, or_ c..� . ��i/�re�, S:d.�S?�3 ��Z� 3`�y-2oZl <br /> Owner Mail Address City SlatelLip Phone <br /> 5� r"'l E <br /> Tenant � Mail Address Ciry State2i <br /> /� p Phone <br /> �i(..J� F f ��^'� <br /> Ele^tncal Contractor Mail Address City State2ip� Phone <br /> State License Numbe Contract Pnce of Wurk <br /> Ili�:��, ��P�,�e � Dtn � i v i�vM ) "de �F K�,e 11.� r <br /> Proposed se of Building Contact Person (Plan Review) <br /> DescriptionofWorktoEeDone: _ ���\�/�q E (ec �.l�,c•-\ � �, a�y�n� l,iq �� O �-�t �S }n <br /> �0�-1.. I'.���-� �nS �i�\�- re �D�� � �lS ��«.\- 5�� .4L�rC . <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 BY THIS OFFICE. I <br /> INOTE: WIRING I!; NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: EL�CTRICAL AND ��MMUNICATIONS 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 OTH�'ii OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSI9LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 5140 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO QE TRUE AND COFAECT. ALL <br /> PROV/SIONS OF LAWS AND OFDINANCES GOVERNING 7HIS TYPE OF 1,'ORK WILL BE COMPLETED WNETHEIa SPECIFIED HERcIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO CaIVE AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR COCAL LAW REGU(ATING CONSTAUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br /> OWNER OF 7!1/S PROPEPTY TO PEAFC�M TtiE WORK FOR WH/CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.2?RCW AND 296.200 WAQ � I <br /> "7,�(� _ 1 <br /> , <br /> i <br /> . <br /> ` �-✓'/ ,E�� ��y�2 FEE <br /> Si naturo Date <br /> ELECAP(REV8/2001) E O'Z-fY(p-�'p I <br />