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ELEC��ICAL PERMIT APrLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />8200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� �- I r ��c�;� w� y <br />PROJECT ADDRESS <br />Owner Mail Address City <br />State2ip <br />Phone <br />�� LO CJ��=:-�a �v�c-,= LAJ2��;, �(Zs"-�/Ib'-23a� <br />Tenanl <br />J <br />Electrical <br />Mail Address <br />-U��� <br />Mail Address <br />1ti)J-� D r;� � 2,� i- <br />Stale License Number <br />C�Mr. <br />ProFo,ed Use of Building <br />City <br />City <br />State/Zip <br />� L �-//�/N <br />State2ip <br />Phone <br />�(?i-2S2- <br />Phone <br />� l �-� FS 5 F12� <br />C ntract Price of Work <br />Contact Person (Plan Review) <br />Description o( Work to Be Done: T�J S j A-�,� ✓� p�,7 �✓�1 � C( fl CJ �'� �' <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS �VITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVEREfT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES A�1D ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: �NIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYS"fEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL EE 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 E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE 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 />1 HEREBY CERTIFY THAT 1 H.4VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS/ON� 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 AUTHORITY TO VfOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAIiCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PHOPEFITY TO PERFORM THE WOAK FOR WH/CH APPLICATION l� MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. , . . <br />�j 3 FEE �/-�t N � <br />Date , � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ���_ r// <br />( <br />