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ELECTRICAL PERM�T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - . - — --- --- <br /> / � - <br /> _ -\ <br /> 53�7 F� I �u �t Szo q f��e.����n /'u1 <br /> ��P��r�N ��t-f � <br /> �U��I.�I L DR�UIZ�IA I ..J C�D��. D� f/�',� 5�l T i�IwIF-G�IU W� <br /> Owner Mail Atldress City State2ip Phone <br /> � � 1 ( ] � <br /> �T ant Mail Atltlress City State/Zip Phone <br /> � �r.Ecx�.cc- 1330� S� ?�-� ST ��Eu�E r,v►�} `�ms (y�5) 7�7 <br /> Electncal Contractor M11ail Address Ciry Sfafe/Zip Phone �O <br /> �z�+w� � «� gr ,�3� .� <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work tu Be Donz: �S'�{��.(i ILEU�Q�►`��-(��S fl.'U� f�n� �k !T <br /> �iC�� - <br /> �dOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST �E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFOP.E CITY OF EVEFZETT PERMIT WILL BE ISSUED. WAC 296-06-140. ALL OTHER <br /> EDUCATIQNAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACE�NAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WI?HIN 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIRLE 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 CERT/FY THAT I HAVE READ AND IXAM/NED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SlONS OF LAWS AA'D ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETH�R SPEClF/ED HE.4EIN OR NOT, <br /> THE GRANT/NG OFA PERMI7DOES NOT PRESUME TO GIVEAUTHORINTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTh'ER STA7'E <br /> OR COCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS7RUC7lON. THAT 1 AM AUTNORIZED BY THE OLVNER OF <br /> TH/S PROPERTY TO PERFORM THE WORK FOR WHlCH APPLICATION IS MADE AND l COA?PLY WITH THE STATE CONTRACTORS LAW 78.27 <br /> RCW AND 296.20C WAC. <br /> l�� / 'D5 FEE <br /> SignaWre Date <br /> ELE P�REV81200+) <br /> `---�/ � n�s <br />