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ELEC TRICAL PERMIT ArPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Jl � � `�L (= ����%�%!�/_��� ��/� <br />PROJECT ADDRESS ,� <br />(.11JC_ <br />Owner Mail Address Ciry State/Zip Phone <br />�CLs.rt-r /-� 5 A�nv <br />Tenant <br />Mail Address <br />ContractOr Mail Address <br />PoDGr_-�-.0 2 3 Z P� <br />Stale License Number <br />City <br />City <br />Stata2ip <br />State,2ip <br />xo <br />�S, U�o , <br />Contract Price ol Work <br />__1' '- � '-"'"�-'� : <br />Prnnndarl�ti�o �i a���in��� Contact Person (Plan Review) <br />Phone <br />Phone <br /><_-i�•-.f =.�>'��(��� <br />v� <br />NOTF: 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 BF_ ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS'S 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 MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL FECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE 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 NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLlCATION AND KNOW THE SAME TO BE i RUE AND CORRECT. ALL <br />PROVISIONS OF L4 WS .iNO ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLETEO WHETHER SPECIFIED HEAEIN OR <br />h'OT, THE GRANTING OF A PERMl7 DOES NOT PRESUME TO GIVE AUTHORITY TO V'OLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STATE OR LOCqy LAW REGULATING CONSTRUCTION OF THE PERFORA4ANCE OF CONSTRUCTION. THAT 1 AM AUTHORI2ED BY THE <br />nWNER OF 7f�S'�PROPERTY TO PERFORM THE WOR!( FOR WHICH APPLICATION IS A1ADE AND I COMPLY WITH THE STATE <br />RCW AND 296.200 WAC. <br />—+ / —��-0� FEE�7 /✓. �CJ <br />; oate , / <br />C <br />CREDIT CARDS ARE NOT ACCEPTED ,� 'U�� �_ G � <br />