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ELE i'RICAL PERMIT ANPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � Sa I /��IfV� ,S�` <br /> PROJECT ADDRESS <br /> PLiinr�e/ C'o.oJJ�ivc1`.o" /�p/1 97G /��ie1"1' G/�-J °/1J=3�fA—/1^1L <br /> � <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State2ip Phone <br /> f�o{ss.oro / /%/��fi-� 1'h� I'o ,� y9 /�r/-.�fe� G/�9�1d� T6o-�/ss=�'a�,z <br /> EleCtncal ContraCtof Mail Addross City StatefLip Phone <br /> f'2oi=,�_F r� �-� ,�.�4 <br /> State License Number Contract Price of Work <br /> ��a��� <br /> Proposed U e of Building Contact Person (Plan Reviaw) <br /> Description of Work to Be Done: � �/„-, �, �� �`w ,�v�� �-pU 4��n��prv.�L <br /> i �{ • <br /> 4//l� .�— �� U /�is3� }4s�'�/P/J <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 W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED i O 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 FiECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCFSSIBLE 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 TNAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS OF LAWS AND OFDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTlNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONS7'RUCT/ON OR THE PERFOFiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH/S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICRTION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. . <br /> /f7_Ul,./! /7i.ov/1�^ /D�/3�c�.? FEE <br /> . _ <br /> Signature Date <br /> DEBIT&CREDITCARDSARENOTACCEPTED �03rp-p� <br />