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� ELECTt�ICAL PERMIT APwLICATION <br /> G� CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> lab�� 7� �4V� � E <br /> PROJECT ADpRESS 4�'S" <br /> �.�42rZy � �c/,oN -r� o� 7`— �4�� S.F. �V�,zf.lv wn- 2�F.�og �13� •5�93 <br /> Owner Mail Address Ciry State2ip Phone <br /> Tenanl � F,fall Address Ciry StatelZip Phona <br /> Eledrical ConVactor �.1all Address Ciry SmterLip i Phone <br /> State License Number Contract f'rice of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: ��P�,4¢,f l�.u0 ��O J6 �LD s`s eUI GS r 9a.��L w l 7'tf <br /> ti�� , aoo ,�.�P ��rzvic�P,�.,�� _ <br /> NOTE: PLANS FOR ELECTRICAI. 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 FACILII IES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS Ig FEG�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTAC�ES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROLJTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 151NCHES AE30VE THE FLOQR. WAC 5t•20 SEC. 3106(c)2. <br /> I �NVIRONhtENTA� AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WIfHIN <br /> ACCESSIBLE SPACE'S OR ALONG ACCESSIDLE ROUTES OF TRAVEL SHALL BE MOUNTED WITFIIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND PJOT LESS TH.4N 36 INCHES ABOVE THE FLOOR. <br /> 1 HERE9Y CEATIFY TFiAr i HAVE nt'AC AND EXAGf%NED i HIS APP!ICATIOA'AND KNOW THE SAM11E TO 6E TFUE AND CGRRECL ALL <br /> PFOVISIONS OF LAIYS AND OFGlVANCES GOVEFNlNG 7HIS rYPE CF WOkX WILL 6E COMPLETED WHETNER SPECIFIED HEFEIN OR <br /> NOT, THE GRAN'"ING OF A PEn'hf1T DOcS N07�FESUh1E r0 GIVE AUTHCFITV 70 VIOL7TE OR CANCEL THE PFGVISIONS OF ANV OTHER <br /> STATe OR LCCAL LiW nEGUl.AT1NG CONSTFUCrlCN OF THE PEFFOFib1ANCE OF CCNST.SUCTION. THAT 1 AM AUTHOFIZED BY THE <br /> OWNE.4 OF tH15 PF TY TO PEFFOFM THE WOFK FOR WHICN APPLICATION IS A1AOE AND / COMFLY WITH TNc STATE <br /> CONT R 18.27 F D 29o"2C0 LyqC. <br /> do i FEE <br /> Signature Date <br /> ELECAP�REV B2001) � V ZG�j— G��� <br />