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ELEC��ICAL PERMIT AF�'LICATION <br />EVERETT <br />SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />9y.�s - 7T���,� s - �Q� �i� <br />PROJECTADDRESS <br />,6'�Ur� ��.rJL�G �u�sT �0 ,��,Y �02 Dc�vl�(.. tvl� � e/f� �za Q19-7�/s <br />Owner <br />Tenant <br />Wl `(�IiJT <br />Electrical ContractoP <br />Mail Address <br />Mail Address <br />Mail Atldress <br />Iu�c��N �c.r�n3�v5 <br />State License Number <br />Proposed Use of Building <br />Ciry <br />City <br />City <br />SEite2ip <br />StatelZip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of YJork to Be Done: _ �— (p O %/� � U� "j—�f�.� p <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK pT EDUCATIONAL, FACILITIES UTILIZING STATE rUNDS MUST BE <br />APPROVFD 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 OTHEfl <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PL4NS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS !S REQUIRED TO BE IN RACEWAYS, MC OR AC GABLE. <br />HANDICAFFED ACCESSIBILITY: ELECTRICAL AND CCMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED N MINIMUIv1 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES ANp OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3706(b)4 E& F AND NOT LESS THAN 36 INCHES ABqVE THE FLOOR. <br />1 HEFEBv CEATIFY THAT 1 HAVE READ AND EX<.,UINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PpOVISiONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEF SPECIFIED HEREIN OR <br />NOT, TNE GRANTlNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW AEGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFI2ED BY THE <br />OWNEA OF THIS PROPERTV TO ?ERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMP6Y WITH THE STATE <br />CONTRACTOFS LAW f827 RCW ANO 296.200 WAC. <br />_���� �� S - 3/ - 6 2 <br />ignature Date <br />ELECAP�REV 81200Q <br />.E �Z,DS - ; 2S <br />FEE � .� oe <br />35 <br />