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� <br />� <br />ELECT'..IC�iL PERMIT APi �ICATION <br />CI�Y OF EVERETT PEFiMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />;:"'� <br />�l <br />?___ '" �o4;,El/ �-- r� � . <br />��:3�-� ����� ;. <br />PROJECT ADDRESS <br />Owncr <br />Tenant <br />Electricai CoNractor <br />Mail Adtlress <br />Ma8 Atltlress <br />Mail Address <br />.5ri�f,�:�'Si �U�•l/i'c F/UJ�✓ lri»ii�$/i`� Q <br />State Licenso Number _ c�� ff� -�-� ��� 4,��,; <br />[ J,-j�14 /iJUS� <br />Proposed Use of Building <br />Ciry <br />'l' <br />City <br />City <br />State2ip <br />SWte2ip <br />Slate2ip <br />.rf.%5 �^c'd <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description ol Work to Be Done: :,[`�j1�5 %iyGL iJ s'�,cJ 5�.;' �,.�..., �l q T/�=f�J� � c� <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELEC7ftICAL WORK AT EDI,CATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STA"iE OF WASFiINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PEAMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PIANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 BE MOUNTED A MINIMUIvi <br />OF 15 INCHES ABOVE THE FLOOR. WAC 5140 SEC. 3106(c)2. <br />ENVIRONti1ENTAL AND�'OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGEd OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVF THE FLOOR. <br />1 HEFEBY CERTIFY THAT 1 HAVE FEAD AND EX.4MINF.D THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ,4LL <br />PFOVlSIONS OF LA WS AND OFDINANCES GOVEFNING THIS TYPE OF WOFK W1LL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br />NOt. THE GFANTING OF A PEFh11T DCES NOT PRESUAfE TO GIVE AUTNOFITY r0 VIOL77E OR CANCEL THE PFOVISIONS OFANY OTHER <br />STATE OR LCCAL L,14V FEGUL.7TING CONSTFUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE � <br />OWNEF OF 7HIS PFOPERTY TO P�FFOFAI 7'HE WORfC FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTFACTOFS L4lV iB.�7 RCW AND 2?0.200 WAC. <br />sr9��w�e � _�,. r. <br />. <br />� , . - ' �, <br />/ c'r%l � Dato <br />� �.' _ FEE �� � "'; <br />- �� � �_— <br />ELECAP�REV&2Cw1) J"-l4 I� ����� <br />