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ELE TRICAL PERMIT �►�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� <br />PROJECT ADDRES'S C� �/ / [�� 7 <br />% i�nr /��dis'!k� U��2��_ ��Ol �ofj�,�(^` � ✓ CG/��T` CvS f o�J � <br />Owner Mail Address Ciry Stale/Zip Phone <br />Tenant <br />� <br />�tail Address <br />COnttaClOf Mail AdCreSS <br />s. <br />'�qUf� 3lSGt� _ <br />Slale License Numbar <br />Preposed Use of Building <br />City <br />City <br />Descnption ot Work to Be Done: ) d �/11 �% �d�0 v J C'/( l%l <br />�/0��`F / j'cl <br />�ale �p <br />Stete2lp r Phona <br />/dOd � <br />Contract Pnce ot Work <br />��.� ��,,,k,,, ���s�e-i ��b <br />Contact Person (Plan Rewew <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, rACILITIES UTILIZING STATE FUNDS MUST 8E <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 />NOTF: W IRIN� IN NON-DWELLINGS IS FEQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCES.iIBiLITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SP�CES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNT[D A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHEF? CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br />RANGE& OF WAC SE 20 SEC.�3N 6(b)4CE & F' ANDRO TTEE S THAN 36 INCHES ABO EUTHE � OOR IN THE REACH <br />I HEFEBY CERTIFY THAT I HAVE AEAD AfJD EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COARECT. ALL <br />PROVISfONS OF LAWS AND G,4DINANCES GOVcRNING TNI: lYPE OF WOFK WII-L BE COMPLETED WHETHER SPECIFIED NEREIN OR <br />NOT, THE GRANTING OF A PERMlT DOES NOT PRESUME TO C!VE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS/ON5 OF ANY OTNEfl <br />STATE OR LOCAL LAW REGULATING CONSTRUCiION OR iHE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />G�WNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFS L4W 1 H.27 RCW AND 296.200 INAC. <br />SignaWre <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />a� FEE � <br />Ep3� a—GZS <br />