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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 />�8'/S �.�ve�.l� ���P� _ <br />PROJECT ADDRESS <br />�nsr- ICIDiLi P 6 //7nG `r�t� <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Clty <br />�'G �� GT! Q �IPc�L�G /l�7a� �n <br />Electtical Contractor Mail Address Ciry <br />��TEI� I32B� <br />State Llcense Number <br />Proposed Use of Builci(ng <br />,i/ <br />Descdptlon ol Work ro Be Done: <br />SlatafZip <br />.jGO -G,S.a -�S�/ <br />Phone <br />�GD•�aS3•lol� <br />State/7Jp Phane <br />NuvL 9�� �/ <br />Ststa2lp <br />Contract Price of Work <br />Contact Person (Plan Fievfew) <br />T�� <br />Phone <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 SHGW THE STATE <br />APPROVED PLANS BEFORE CITY 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: WIFING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, IviC 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 AECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />RANGES OF WAC 5E 20 SEC.�NO6(b)4CE 8 FI AND O`T E S THAN 36 INCHES A80 EUTHE �LOOR �N THE REACH <br />T%ViT I HAVE <br />sipnature <br />0.ECAP�REV fl20U1) <br />�AD AND EXAMINED 7HIS APPUCAiION AND KNOW THE SAME TO BE TAUE AND CORREcr, au <br />NCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLETED WHETHER SPECIFlED HEREIN OF <br />�ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEH <br />I CONSTRUC710N OR THE PERFOAMANCE OF CONSTRUCT70N. TIi.4T I AM AUTHORIZED BY THE <br />�ERFORM THE WORK FOR WH1CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />298.200 WAC. C / � <br />��I <br />� � _ ,�.Qa/ FEE <br />oece <br />