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ELECl'1�ICAL PERMIT AP�L�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />`(1 /l � /-�•u«clwo�� S.,.Te n[u3 <br />PROJECT ADDRESS / /� / � y�� � <br />�G�n.i �i2vci�l�_�a,..�ar,�.....f L�,i �7�OCdatr�Y�(�--c%t✓e � <br />Owner <br />Tenant <br />Electncal Contractor <br />� i ive �e 9b'�'l°f� <br />State License Number <br />�-��.� <br />Proposed Use ol Building <br />Description of Work to Be Dane: <br />Mail Address <br />� �liS .c3�, <br />Mail Address <br />�lSU2 /h!,/��,I/� <br />Mail Address <br />Ciry <br />Ciry <br />Stete2ip Phone <br />-/f� �. `r �%'�' <br />-� <br />State2ip Phone <br />9;P�i A yJi -3t7. <br />City StatelLlp Phone <br />n2,SClJ -- <br />Contract Price of Work <br />Contact Person (Plan Review) <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 SHOW 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: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED AC;CESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLE5 ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE rLOOR, WAC 57-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES FND UTHER OPERABLE E�UIPMENT WITHIN <br />ACC[SSIBLE 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 THR7 I HAVE REAJ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV/SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. 7HE GRANTING OF A PEF LfIT DOES NOT PpESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW AEGUI..lTlNG GONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN APPL/CAT10N IS MADE AND I CUM�LY WITH THE STATE <br />CONTRACTORS L4W 18.27 RCW AND 296.200 WAC. � <br />� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� �- � 2-a �'/ <br />Date <br />� D4a3 -10�1 <br />FEE <br />