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ELECTRICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> [ <br /> %1�c� (� �� C /e"1 [,(J (�d'� � / <br /> PROJECT ADDRESS <br /> CeL� c2�'r� sa�c <br /> Owner Mail Address <br /> , City State/Zip Phone <br /> Cc: �D C tzr—_,r � ,—,�C, <br /> Tenant � Mail Address Ciry State/Zi,r. <br /> Phone <br /> K� 1�1 rce -i-,n L Z�I t cn P i Nr- �1- C-��i- �n-�c� �C�zo I ���I �aa2 <br /> Electncal Contractor Mail Address City State2ip Phone <br /> kM���-�-b7 s � <br /> State License Number Contrect Pnce of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> .-- . <br /> Descriplion af Workto �e Done: �• ��y- LQ (F� ��� <br /> i v <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ,IOBS 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 PLA�S W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RFCE?TACLES ON WALL.S <br /> WITHIfv 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRF,VEL 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 F1.00R. <br /> l HERE9Y CE,RTIFY TNAT 1 NAVE REAO AND EXAMINED THIS APPUCA'f�ON AND KNOW THE SAME TO HE TRUE AND COFRECT, ACL <br /> PFOVISICNS OF L7WS AND ORDINANCES GOVEAN/NG THIS TYPE OF WORK WILL BE COMPLeTED WHETHEA SPEGFIED HEREIN OR <br /> NOT, rHE GRANTIN6 OF A PEnhf/T DOES NOT PqESUME TO GIVE AUTHOFlTY TO VIOL.7TE OACANCEL THE PROVISIONS OFANY OTHEF <br /> STA7c OR LOCAL L:7W AEGULITING CONSTRUCTION OR TNE PEn'FORMANCE OF CONSTnUCTfON. THAT I AM AUTHOFIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PEAFOFM 7HE WOAK FCR WHICH APFLlCATlON IS MADE AND 1 COMPLY WITH THE STATc <br /> CONTRACi OFS LAW;8.27 FCW AND 296.200 WAC. <br /> - li�,�.,.L-�-1� I.I.��L z - �=�0 �' FEE <br /> SignaWre Date <br /> c!ECAP�REV&"2001) <br /> �0����1 � <br />