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ELEQ 'RICAL P'ERMIT �' PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� � ( S / �(/CrNI / /'"/�i �� Gv:: <br />PROJECT ADDRESS <br />/(i/CIJ!!,� �I��'+LrJ`'�«�nl�J <br />Owner <br />Tenent <br />Mail Address <br />Mail Address <br />cicy <br />City <br />Stete2ip <br />State2ip <br />Phone <br />Phone <br />�C-t/��fri'c .?7�/s.,.��3r./ ��..h•n L✓i- %�'=53— ��tS�-�S/-.S'�Cr�' <br />Electrical Contracto� Mail Address Ciry StatofZip Phone <br />/� � /= L F- s'�a� 5 � �}'�,- =-- <br />State License Number Contract Price of Work <br />i <br />�' c.� r rr� � n��p1�r fn ;� <br />Proposed Use ol Building <br />Description ol Wark to Be Done: <br />Contacl Person (Plan Review) <br />�arq fc � C'.'/-rc.�7�S . �C � . <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 29G-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, titC 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 RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br />ACCESSIBI.E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NQT LESS THAN 36 INC4ES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF WORK tVILL BE COMPLETED WHETHER SPECiF1ED HcREIN OR <br />NOT, THE GRAPJT/NG OF A FEAMIT DOES NOT PFESUhIE TO GIVE AUTHOFITV TO VfOLA 7E OR CANCEL THE PROVfSIONS OF ANY OTNER <br />STATE OF LOCAL LAW REGULATING CONSTFUCTION OR THE PEFFORMANCE GF COFISTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THlS PFOPERTY TO PEFFORM1I THE LNORIC FOR WHlCN APPLICATION IS hfADE AND I COh1PLY WITH TNE STATE <br />CONTRACTOFS LAW 78.27 RCW AND 296.200 WAC. <br />Signeture <br />L� —�' �) � � <br />Date <br />DEBII & CREDIT CARDS ARE NOT ACCEPTED E o3c�{ -�(.�' <br />FEE <br />