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ELECT ICAL PERMIT APF �ICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i7� ' <br /> 425-257-8810 - FAX 425-257-8857 � <br /> ,�1IDp £��rcG�oJ f�.�i4'9 <br /> PROJECT ADDRESS <br /> ,�P��/ �D szoo F�/�c1�� �t' �r��=,-T l�,�r 1s�a3 <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Adtlress Cifj Stateflip �327 Phone <br /> �n.�,e,¢t� F�ECTR�c .a✓c Z � Mrk�s��ir-r.� Sz7a <br /> E'ectrical Contractot Mail Address / City � StatelLip Phone <br /> LJII fi2lfC'/`�,z/L S f � 2?�o a o � <br /> Stat�icense Number ID/� Contract Price of Work <br /> � GO- / � <br /> Proposed Use of Brilding ___% Con act Person (Plan Review) <br /> Description of Work to Be Done: ,/�iiQ�(. Q /�J ^�S^,��T /Wt� � 6 GYrf/O�l� �/�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUC.4TIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THF STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PL/�NS BEFORE CITY OF EVERETT PERMIT �VILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 ACCESSIBIE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> ftANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br /> ! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS.4PFL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OR�lNANCES GOVERNING TH1S TYPE OF WORK WILL BE COMPLETED WHETHER SPEClF/ED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TD GIVE AUTh!ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE Oq LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFGAMANCE OF CONSTAUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF 7HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH rHE STATE <br /> CONTRACTORS LAW 1&27 RCW AND 296.200 WAC. � <br /> G-c�D FEE <br /> Signalur Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> �b�lOip—I'-1 3 <br />