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EI�EC'� �ICAL PERMIT AP�-LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 30�01 <br />425-257-8810 - FAX 425-257-8857 <br />�j�� �i, f�1 e�< c�.r-��� � � <br />P OJECT ADDRESS <br />��'-rx:l�l�i.rtic�. �:.5( �LC.�.c��l'� �c�-O f�i . <br />��Xt�l,���1 <br />Mail ,4ddress <br />Meil Address <br />Elecvical Contractor � Maii Address <br />State License Number <br />��.'ll'��`',.0 � 1� ��`� "� �L/L(�V <br />Propo ed Use of �uilding <br />ciry stace)Eip <br />� D.�X ld �� Cr2r� <br />City Slate2ip <br />City <br />Stete2ip <br />�� <br />Phone <br />���5 �%%.� <br />Phone <br />Phone <br />��� . <br />Contracl Price of Work � <br />Contacl Porson (Plan Review) <br />Description of Work to 8e Done: Cl/ � ��- ��-}�2(���4 0 v I�t-�� � �(�(�7�-- <br />. � ,. � . <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPRQVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORC CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. P.LL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, .AC OP, AC CABLE. <br />HANDICAPPED ACCESSIBILITY: [LECTRICAL AND COMMUNICATIONS SYSTEM RECEPTAC�ES 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�UIPi,�ENT 4VITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABO�'[ THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE REAO ANU EXAM1IWED THIS APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CONPLETED INHETHER SPECIFIc'D HEREIN OR <br />NOT, TNE GRANTING OF A PERMIT DO.=S NOT PRESUME 70 GIVE .4UTHORITY TO VIOLATE OR CANCEL 7HE PPOVISIONS OF ANY O iHEF <br />STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PcFFOFMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHORI2ED BY THE <br />OWNER OF THIS PR�JPERTY TO PERFORM THE WORfC FOR WHICH RPPLICATION IS MADE AND / COMPLY WIiH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�p3pi-00� <br />FEE <br />