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ELECT RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES g�,3 <br />3200 CEDAR STREET, EVERETT, WA 98201 �-d _07(� <br />425-257-8810 - FAX 425-257-8857 <br />l06� �r��r�kffejzx U 124at <br />PROJECT ADDRESS <br />Owner <br />Mail Address City <br />State/Zip <br />Phone <br />�,uj <br />g7:7zl <br />CP i /- <br />97S zot-1 353-�>�(� <br />Tenant <br />Mail Address City <br />State/Zip <br />Phone <br />C[ <br />t <br />4&�03 yZ� 3S37b� <br />BSI ��i7A Q NAY <br />�nL_ (�717 %� f,,(C �eP.ln 4)A144i5)2 <br />(vim <br />Electrical Contractor <br />Mail Address city <br />State/Zip <br />Phone <br />,I I �-) ( f i F c) (D S L) 2 Df7 <br />State License Number Contract Price of Work <br />l iJ01WA OA o AG��C <br />Proposed Use of Building Contact Person (PlanReview) <br />Description of Work to Be Done: +{Q6 O r �' aw�'�S l CI o /n `r-q-5 <br />-AAA" "_D-, 3 - - Z 1 P +(-�l,K ti'� U CD l� <br />(f_�t C' <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 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 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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC.Q / <br />FEE <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �/� _ - <br />