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ELEC RICAL PERMIT A� �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857 <br /> ��ZS' C,V��-�,T lv�o�"� �✓t. <br /> PROJECT ADDRESS <br /> ���Gtrt T�'%- <br /> Owner Mail Address City State2ip phone <br /> TenaN Mail Address City State2ip phone <br /> � � <br /> ��� (�{.���r.'ti 4�3 Si�V �ia �plrt� ST Svnffl� l-Uf�- 9�/1(n �ofirsSi(,`}3 <br /> Electrical Contractor Mail Address Ciry State2ip Phone <br /> �d.S t�-!k'+k CO�fy: r �S�i`/�7u_p0 <br /> Stale License Num6er Contract Price of Work <br /> �✓�+� vti.1,I-(:tJ�� /(,`�a{ �t�?r.t,� �w.��tiGrC !ftk <br /> Proposed Use of Building ' Contact Person (Plan Review) <br /> Description of Work to Be Done: C�'-'V VU l�'t!�^�/ -�/Y� /,[�L�fCZ, / f Q(��`'�U�� <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 SHOV'.' THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETi' PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLES 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FIEACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E &F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEFTIFV rHAT I HAVE AEAD AND EXAMINED THIS APPLfCAT10N AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF Li WS AND ORDINANCES GOVERNIN6 THIS TYPE OF WORK LNILL BE COMPLETED WHETMER SPECIFIED HEREIN OR <br /> N07'. THE GRANTING OF A PERh?IT DOES NOT PRESUhfE TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> StATE OF LOCAL LAW REGULATING CONSTFUCTION OR THE PEflFORM1IANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTI' 70 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY W/7H THE STATE <br /> CONTRACTOFS LAIN 18.27 RCW AND 296.200 WAC. <br /> � yILO�K• ����ti—� J- IG ' LCJ� FEE <br /> SignaWre � Da1e <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � �O� �O�'� <br />