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ELE�TRICAL PERMIT HPPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3��8 F�,a� r�h� <br /> PROJECT ADDRESS <br /> �?�cK 351�5 ���y �r L=�f�rr l�9 9��2 ����q-y�� <br /> Owne� Mail Address City State2i <br /> P Phone <br /> Tenant Meil Address Ciry StatelLip Phone <br /> �� ���l�N �'IIG�/s ��FCr��^ �y�l��5�5, SJ�Z r��iy/h.9������ �i�S�'.�70 �4.� y.3-?o <br /> Electncal Contractor Mail Address y—� Ciry y StatelLip Phone <br /> �l�C����'!�Z ��Zcr�,�x� <br /> State License Number Contract Price of Work <br /> �tL�c�U�� ! J//1���� /�11'I/�(� � <br /> Proposed Use of Buiidi Contact Person (Plan Review) <br /> Description ol Work to Be Done: ��L� �� �fyfP �'V���'�p �'��f/C� �^/��-�� <br /> _Svb -,�F I . k�r�lAc � �7yo ri C'�,ec��Ts /�i-�y��,�v, , � - 3� ►�,�) <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS MUS <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTB 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 57-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTAC:.ES 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVISIONS OF L4 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COh�PLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUAI�=70 G!VE A UTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW fiEGULATING CONSTRUCTIOr� OR TNE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR lh'HICH APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br /> CONTRACTORS LSW 78.27 RCW AND 296.200 WAC. � <br /> , FEE <br /> SigneWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED Eo3o5- 1 y�I <br />