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�'e <br />� <br />ELECi�ICAL F�ERMIT A�"'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEFETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�,� 1 a, -�'1 '" P � S� <br />PROJECT ADDRESS <br />Tenant <br />Mail Aearess <br />Mell <br />Elecirical Canlreclor ' Meil Adaress <br />�l)n�'�iE�r�olCZ <br />�Stete License Num er <br />Descriptlon ol Work to Be Done: <br />Ciry <br />Ciry <br />�e�wUoO� l.ofio1� <br />Slate2ip <br />Steta2lp <br />Phone <br />Phone <br />Steta/Zip Phone <br />��,�4�D� � D <br />Comrect Pnce of Wo�k <br />Contact Ferson (Plen Review) <br />NOTF: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY TN- STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFOAE CITY OF EVEFETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS FiEQUIRED TO 8E 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 BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106�c)2. <br />ENVIRONMENTAL AND OTHER CONTROL FECEPTACLES ANO OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106�b)4 E 8 F AND NOT LESS THAN 36 INCHES P.BOVE THE FLOOR. <br />I NEFE9Y CERTIFY THA7 I HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW rHE SAME TO BE TRUE 4ND CORRECT. ALL <br />PROVISIONS OF L4WS AND ORD/NANCES GOVERNING TH/5 TYPE OF WORK WILL BE COMPLE7E0 WHETHER SPEGFIEO HEFEIN OR <br />NOT, THE GRANTING OF A PERM/T OOES NO7 PRESUME TO GIVE AUTHORI iY TG VIOL4TE OF CANCEL THE PROVISIONS OF ANY OTHER <br />STA7E OF LOCAL L4W FEGULATING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. rHAT I AM AUTHOqIZEO BY THE <br />OWNER OF 7HI5 PROPERTY TO PEl7FOFM THE WOFK FOR WHICH APPUCA710N IS MADE AND 1 COMPLY WITH THE STAiE <br />CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br />YV�+ � � <br />Siqneture <br />ELECAP�REV fl2001) <br />��C> <br />oe�e <br />� �� <br />" , L� 3 FEE <br />�G �/v -/3� <br />