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ELEC1 HICAL PERMIT APHLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PROJECT ADDRESS ' <br />n q <br />Owner Rail Address city StaiwZip Phone <br />Tenant / ?.fail Address city Stateop Phone <br />a COnsu�%�^� it%r7�iNR�tir /o�yi2S<2os��Sr�'�y// 4,11 <br />Electrical Contractor Mau Address city Staterzip <br />A1/1)iocA)-u(oe yo„:;z <br />State license Number Contract Price of Work <br />Proposed Use of Building Contact Person ((Plan Review) <br />Description of Work to Be Done: c- rs <br />4u oL' ` >, /, S T <br />IV J Cc "l/ S 'rrL/.� ov`i) . !Yu-��. o �Ul�-a S y C c/�ec.4_ i �R/ /t_ G'�c..✓ <br />V <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 PERPIIT 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 ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL -F 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 THAT I HAVE <br />A <br />OWNER OF THIS <br />CONTRACTORS LA <br />Signaturo <br />WAC. <br />'HIS APPLICATION AND KNOW THE SAME iO BE TRUE AND CORRECT. ALL <br />115 TYPE OF WORK WILL BE COMPLETED 4'HETHER SPECIFIED HEREIN OR <br />7 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />C FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED [ 04G(' 1Q5 <br />