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ELECT ICAL PERiVIIT APF�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> f I 1 c�` E 1�C.e Gt 2cEi✓ Wf1 �/ � i� - ElrE2c�7T- Li�f}��'7$�c�� <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phone <br /> Tenant Meil Address Ciry State2ip Phone <br /> PK �TAM.. S , �rl2t.�lvf1� 127o2-3S �� ��t� �� �� cl/EkETT - ��v�i�9S208 3�S-.Z2/� <br /> Electrical Contreclor Mail Address C8y State2ip Phone <br /> 8�0� 6U <br /> State License Number Contract Price of Work <br /> /Z� TH i� �2 r iA �vl <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: 3 �ti�A-�,L, ,5 /(� N.� <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 PERMIT 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 B� IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND GJMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLi': ROUTES OF THAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 5140 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTF!ER CONTROL RECFP?ACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SP.^.CG:: ?r� ALONG ACCESSIBLE RJUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-2� SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERT/FY THAT I HAVE READ AND EXAMINED THIS APPLICATfON AND KNOV� THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP:ETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VlOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIOlJ. THAT 1 AM AUTHOAIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 FiCW AND 296.200 WAG � <br /> n • <br /> / / <br /> /— �,-�-•—� + • tj _g —a � FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � `bCJ— ��/ <br /> `� / <br />