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EL.EC� RICAL PERMIT AFr�LICATION <br />CI iTY QF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT,INA 98201 <br />425-257-8810 • FAX 425-257•8857 <br />:�C�� <<S-�,(/•�. S.c�l, L,eT � <br />PROJECT ADDRESS <br />_l� rc�e�'.�,1 Cc�,r. �� � i�� �� t� �.�cs- r��i' �,�,q .�� ��� i <br />oW�e� <br />Tenant <br />��� � <br />Stete Llcanse Number <br />Proposed Use ol Building <br />Alail Adtlress <br />Mail Address <br />M9II AOOfBSS <br />) <br />Descdption of Work to Be Done: .�E�7 h� f'}'�LL i'� <br />Clty <br />City <br />City <br />Slate2ip <br />Slate/Zip <br />Stata2lp <br />Contract Price of N'ork <br />Contact Person (Plan Review) <br />P�ona <br />Phune <br />Phone <br />N�TE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVE� BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APP9GVEU PLANS BEFqRE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDU:.ATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIFED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY. ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8� MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTqCLEG ",�JD OTHER OPERABLE EOUIPMENT W�7hIIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES UF TRAVEL SHALL BE MOUNTE�� WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FL:IOR. <br />1 HEREBY CER7IFY THAT 1 HAVE READ AND EXAAfINED 7hlIS APPL/CATION AND KVOW THE SAME TO BE TRUF AND COFRECT ALL <br />PROVISIO.NS OF LA WS AND OROINANCES 30VERNfNC THIS TVPE OF WORK IYILL 6E COMPLETED Y/HETHEP SPEClF/ED Ht'9EIN OR <br />NOT, THE GFANTING OF A PERMIT DOES NOT GRESUAIE 7G GIVE AU7HORITY TC V�OLITE OR CANCEL iHE Pq��VISIONS OF ANY OTHEF <br />STATE OR LOCAL LAW /iEC-ULAfING CUNSiRUCTION UF THE PEFFpRAIANCE OF CONSTpUCTION THA7 1 AM AU7HOR17[D BY TNE <br />OWNER OF iH15 PROP6?rl' TO PEAFORM THF 1M1'OFK FJR WHICM AFPLiCA�ION �S MAOE ANC 1 CO�dPLY WITH THE 57-0TE <br />CONTFAC70RS LAW iB.27 RCW AND 296..^00 WAC. <br />�G <br />Sipne�ure <br />ELECAP�REV 8200Q <br />Date <br />E odD�+-i�� <br />FEE <br />