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ELEC�ICAL PERMIT AF�"�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S?REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> y�z � �T� �c Sc . � <br /> �ROJECT ADDRESS <br /> -�'� G rf I`Z3L1 �a.� t,,�,-�' �c►I�+K�� L�vj" ��'� — <br /> Owner Mail Address Ciry State2ip Phone <br /> 7enent MaA AUdress City Stete2ip PhOne <br /> �c �� <br /> Electrical Centractor Ma�i Adaress Ciq StatelZip Phone <br /> Slale License Number Contract Prlce of Work <br /> I�CJ�'Id�ti � �lU� �.C,� <br /> Proposed Use ol Building Contact Person (Pien Revtew) <br /> Description ol Work to Be Done: /` � ` �'N�� <br /> NOTE: PLANS FOF ELECTRICAL WORK AT EDUCATIONAI_, FACILITIES UTiLIZING ST/1TE FUNDS MUST 8E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT UVILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED Bti'THIS OFfICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED 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 TRAVE�_ 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 EOUIPMENT WITHIN <br /> ACCESS�BLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACN <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CERTiFY 7HA7/ HAVE REAO 4N0 E.YAh11NE0 i HIS APPLICA7ICN ANC KNCW THE SAME TO 9E TFUE AND CORFECr ALL <br /> PROVISIONS OF LAWS AND OFOINANCES GCVERNING 7H15 TYPE OF WCFiK W4L BE COMPLE7ED WHETHER SPEdF1fD HEREiN OA <br /> NOT, fHE GRANTING OF A PERMIT COES NOr PFESL'hfE 7O GIVE AUTHCFITY TO VIOLA7E OR CANCEL THE PRCVIS10N5 OF ANY OTHER <br /> STATE OR LCCAL UW REGUL4TING CONSTFUCTION OR fFiE PEFFpRM1fANCE OF CONS'RUC�ION THAT I AM AUTHORlZED BY TNE <br /> OWNEF OF fH15 PFCPFR7Y r0 PERFORM 7HE WOFK FOF WHICH 4PPLICA7fON IS MADE AND I COMPLY WITN TNE 5T4TE <br /> CON7RACTORS LAW 18.27 RCW AND?96 200 WAC. <br /> V� � 9 Iy FEE l <br /> I <br /> Si neture Date <br /> Eoao�l-cs/ <br /> ELECAP�REV 8l:001) <br />