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ELEC� RICAL PERMIT AF�LICATION <br />CITY OF EVERETt PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�-�la� � <br />-���a1 `.� s �� - <br />PROJECT ADDRES <br />�,,, v C. �-� .• $o K ���k�. �. <br />Owner <br />Tener,t <br />Mail Adtlress <br />Mall Address <br />Electrical Con�racror Meil Add�ess <br />R `L�L �1�\� <br />State cense Number <br />� �� �� , �. <br />Proposed Use ol Building <br />Descriptlon ol Wark to Be Done: <br />City <br />Ciry <br />�; <br />Slate2ip <br />Phone <br />State2ip Phone <br />��1—��-�� <br />State2lp Phons <br />�l�Suo � <br />Contract Price ol Work <br />lh,G�'�c�c� cd� . <br />Contect Person (Plan view) <br />NOTE: PLANS F'�R ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APP�ICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERE7T PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWEC BY THIS OFFICE. <br />NOTE: WIRING IN NON•DW ELLINGS IS REQUIFED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTP.ICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU''ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br />ENVIFiONMI:NTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE �PACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL Sh1ALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHE5 ABOVE THE FLOOR. <br />I HERE9Y CE.9TIFY 7HAi 1 MAVE READ AND EXAh11NED THIS APPUCA7ICN AND hNOW riiE SAME 70 BE TRUE AND COFRECT ALL <br />PROVISIONS OF L1 WS AND QRDINANCES GOVEFNING THiS TYPE OF WOFK WILL BE COMPLETED WHETMEA SPELIFIED MEFE/N OR <br />NOT, THE GRANfI�i OF A PFFMII DOES NOT PFESUME TO GNE AUTNCFITY TO VIOU TE OF CANCEL THE FROVISIONS OF ANY O7NEA <br />STATE OF LO�IALI6AWJf7EGilLA7�NG Ct�ON0STpUC7lON OA THE PEFFCFAIANCE OF CONS�FUCTION. THAT I AM AUTHORIZED BY hfE <br />�ANTRACOTORS LAiN�iea7 ACW AND 296.200 WAC. E WOAK' FOR `INHICM AFPLILATlON IS MADE AND 1 COMPLY WITH THE STATE <br />`��a <br />si,�amra <br />ELECAP(REV Bf200q <br />ca, FEE <br />Ec�.o �4-0 � � <br />