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ELECT�� �ICAL PERMIT AP� `ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />'�.�'oy C3 ✓�w4Y <br />PROJECT ADDRESS <br />���ii S�—u�L 9�ST 4�30 �-D`� A`�� E���T,t,J� <br />Owner <br />�� T <br />Tenant <br />Mail Address City <br />�ox � go2- 6�� <br />Mail Address Ciry <br />� �+ �-+ �*� . S . S� <br />Electrical CoNractor Mail Address <br />�J t�,�p 'T 11 Jn1 I-F <br />State License Number <br />�1�� � t�n <br />h��''r�:'cd Use of Building <br />City <br />StatelLip <br />State/Zip <br />aj � l <br />State2ip <br />i�•^ <br />Conlract Price of Work <br />Phone <br />Phone <br />Phone <br />s N�+>-.) � V�J <br />Contact Person (Plan Review) <br />��esc„� .ron of Work to Be Done: ��� 7✓�C � aT—�c SG62��Pa'�Z� ' <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATE OF WA�HIN3TON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PEHMIT WILL BE ISSUED. WAC 29G-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS 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 MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPAIENT 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 />1 HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TU BE TRUE AND COFRECL ALL <br />PROVISIONS OF LAINS AND ORDINANCES GOVERNING THIS Tl'PE OF WORK WILL BE COMPLETED WHETHER SPECIFiED HEREIN OR <br />NOT, THE GRANTING OF A PEFA4IT DOES NOT PRESUME TO GIVE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OF LOCAL LAIN REGULATING CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUC710N. THAT 1 AM AUTHOFIZED BY THE <br />OINNER OF THIS PROPEFTV TO PERFORh4 THE WORK FOR WHICH APPLiCATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCIN ANO 296200 V✓A G � <br />. �o. <br />Date <br />FEE <br />DEBIT & CREDIT CARD AS RE NOT ACCEPTED � D� _� � <br />