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ELECT ZICAL PERMIT AP LICaTION <br />� <br />,� �7 -1- � _ <br />PROJECT ADDRESS <br />Tenent <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�I lv � i j � C <br />�..��5 <br />Mail Add�ess <br />Mall Atldress <br />Electdcal Conlractaf - Mell AdOress <br />�n►'�F�ho1..Cz <br />tate Licanse Num er <br />Description o1 Work to Be Done: <br />L G`i` 5�T M'�-y��L� � u-kJ <br />�, �.i;��.�� c�. a��� ��-3�.�; <br />Ciry Slete2lp Phona <br />Ciry <br />SlatelZip <br />Phone <br />�Ul� 4'k�3� y�,,5-5�� / <br />SletelZlp phone <br />�` /�3 �a, c�> <br />Contract Prica ol Work <br />Ccnlact Peraon (Plen Review) <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 HEA�TH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REUUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCES9IBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES AIiOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIFONMENTAL AND OTHER CONTROL RECEPTACLES AN� OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE FOUTES JF TRAVEL SHALL BE MOUNTEU WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FIOOR. <br />I HEREBY CEATIFY 7HAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AI.L <br />PFOVISfONS OF LAIYS AND OADIN4NCES GOVERNING THIS TYPE OF WORK WILL BE CCMPLFTED WHETHER SPECIFIED MEREIN OF <br />NOT, THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L4W FEGUTATING CONSTRUCTION OR THE PEAFOFMANCE OF CJN3TRUCTION. THAT I AM AUTHOFIZED BY 7HE <br />OWNER OF THIS PFOPER7Y 70 PERFORM1I THE WORN FOR WHICH APPUCATION !S MADE tiN0 I COM1IPLY WITH THE STATE <br />CON7FACTOFS 1.AW �827 FCW AND 296. <"00 WAC. <br />. � . <br />oeie <br />ELECAP�REV B/1001) � 0 3 d 8-o�N <br />FEE <br />