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ELEG fRICAL P�R�AIT ArPLICATION <br />CITY OF EVERETT PERMIT SER`JlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />v 7 I �_ l�� �-�'"sti�� � <br />PROJECTADDRE�� / �� /y/P �,(J9 ����Ui <br />i'�1 «k I l n�l� � P l��� h ��` /� /l%, S� ��i <br />__� <br />Owner � Mall Adtlross Ciry StetalZip Phone <br />= ��G-byZ �S'6`�� <br />Tenanl <br />Mail Addiess <br />City <br />SteteiZip <br />Phone <br />Electrical Cuntractoi MaA Adtlress Ciry ^tatelZip Phone <br />Slate License Number <br />Praposed Use ol E�ilding <br />Descnption ol Work to Ba Done: ��1 i <br />� <br />Contrar.t ?rice ol Work <br />Contect Person (Plan Feview) <br />NOTE: PLANS FOR ELECTRICAL WOHK AT EDUCATIONtiL, ; ACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SFlOW THE STATE <br />APPROVED PLANS BEFORE CIT'f OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS 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 RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU.TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE "fHE FLOOR. WAC 51•2C SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESS!BLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEG WITHIN THE REACH <br />RANGES OF WAC 51-20 SE.C. 3106�b)4 E 8 F ANU NOT LESS THAN 36 INCHES ABOVE THF FLOOR. <br />1 HEREBY CERTIFY THAT I HAVL- .9EAD ANO EXAhSINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AMD ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIEO HERE(N OR <br />N07. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />S l�t � E��R LO.AL LAR' REGUL4iI1JG CONSTqUC710N OR THE PEAFOFMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWK.:R �`F THIS PROPERTY TO PERFCi�h� THE WORK FOR WHICH APPLICATION IS MAOE 4N0 I COA1P! Y W17H THE STATE <br />C�NTfiAC�ORS L4W 1627 FCW AND 296.200 W'4C. <br />�/lG`�l _. r t� Li-c � „—C C j <br />Signatwe Date <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED E031 I--078" <br />FFE <br />