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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 42.5-257-8857 <br /> � n <br /> '�� ��,�%� �,i�� ���'���U ��1,� <br /> PROJECT ADDRESS . � <br /> �� � � � � i� k'���� -1 �� �Z ���,�� -�'Zll��.� ��%.:�:���I �<'�� 2���1 � �'��� <br /> OWner MaiIAAAress _ Cily Stela/Zip Phone <br /> . _ � � � ��'���� �� �'1�4�����0 % ,� ',;.�,� '� �J �� �, <br /> � <br /> Tenaql 1 Mail Adprass City Slale/Zip Ahone <br /> ����J�� �I li"I�l�;��`l � ��� _ .. � I��VU ��� ��J1� ���'��� `_L D�)-� �J l��( <br /> El�clnCal ConV�clor Mail AAdresx City - 5 IelZif Phone <br /> 'L� I('('���-j�rv� c �' I��I �'���� <br /> Slate Liconse Numbor Contrac Price ol Work , <br /> '����- K{�1�� /l 'It�.��a�C�11��-� <br /> Proposed Uso ol Building Contact Parson Plan Reviow) <br /> � . ' . . � � 7 � � � , < - ,/` <br /> Doscriplion of Wark t Be Done� � � � ` ' � �-- " I"-� <br /> � <br /> . y <br /> �, � � �� ����1�-� ����,� 1_ �'. . <br /> � . <br /> %>�' �i� �� ��'�- � <br /> NOTE PLANS FOk [LECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 6Y THE STATE OF WASHINGTON APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BFFORE GTY OF EVERET� PERMIT WILL BE ISSUED. WAC 296-06-140 ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALI. 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 ACCESSIBILITY: ELFCTRIC�L AND COMMUNICATIOIJS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCES310LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 StC. 3106(c)2. <br /> ENVIRONM[NTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIDLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAV[L SHALL BE MOUNTED WITHIN THf: REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERIIFV TIlA7 I HAVE RCAD AND FXAMINED iH15 APPLIC4TION ANO KNOW THF_ SAME TO BE TRUE AND CORRECI ALL <br /> PROVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLET[D WHETHER SPEGFlED HEREIN OR NO i, <br /> 711E GHANTING OF A PCRh1/i DOES N07 Pl7ESUME 70 GNF AUTHORITV r0 VIOLA7E OR CANCEL THE PROVISIONS OF ANY OiHER SiAT[ <br /> OR 1 OCAL L�W REGUTATMG CON.S iRUCTION OR THE PFRPORMANCE OF CONSiRUCTION THAT 1 AM AUTHORiZEO OY THE OWNER OF <br /> IHIS PROP�R IY TO PF�171 OI:A�THF WORK FOH WHICH APP(ICA710N IS MADE AND I COMP!Y WI7H THE SiATE CONiRACTORS LA W 1B?7 <br /> FCyY nN0;��G 100 WA� <br /> � r,�_ <br /> �_J �II1. L�• -�C}7�� FEE '���� �i <br /> i <br /> ;;iynnt�nn Data <br /> il(Ur,�.c.:B:i��' <br /> j_ �,�OL�� 155 <br />