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ELECI��ICAL PERMIT APi� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />") L� o I Ev�izr' 2E�v,i l�I �fl� <br />PROJECT ADDRESS <br />�-�-Z-v�friY' <br />Owner Maii Address City Slate2ip Phone <br />�r;E� �rIC- �M PLo � S Lr GL <br />Tenant <br />Electrical <br />Mail Address <br />Mail Address <br />� I L.� �[`� � � 1�� S <br />Slale License Number <br />G2n 2�!' C'7ZY2 /(f/2�! � �Cr'�lGYi <br />Pro�+osed Use of uilding <br />CIty <br />City <br />State2ip <br />Slate2ip <br />�'� l r,7� a� <br />Contract Price of Work <br />ContactPerson (Plan Review) <br />� Phone <br />!c <br />Phone <br />Description ot Work to Be Done: DLl �LL—�"� �Gf��I , GLCS�b C(/�GG l�' V/ � <br />-��S �G!'�/� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />AFPROVED PLANS BEFORE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />E9UCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: VJIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLES 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 />ENVIROMMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RAIJGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CER7/FY THAT I HAVE READ AND EXAMINED THIS APPC/CAT/ON AND KNOW 7HE SAM11E TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHDRITY TO VIOLATE OR CANCEL THE PFOVISIO�'S OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PcRFORh1 THE WORK FOR WHICH APPLICAT/ON IS MADE AND I COMPLV WITH 7HE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. - <br />3 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Data <br />�oy o3 -� z3 <br />FEE <br />