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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32CJ CEDAR SIREET, FVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ;',2 C 5 (�• (�� ,,� � r �t /-� �'c L ,:-� . , �f� . <br /> PROJECTADDRESS � %G� <br /> � r 1 /�� �-/ �1 /,/ <br /> � Il�,i.. � 1C•'` ,C: ,IL` F) rl `C�� ) .-C�ZI' � �t� �c. ;i41�� ."!m � L ���t�."c'// , �L'/7 (7�5 � �-J � y��. <br /> r <br /> , <br /> Owner MailAUdmss City Stale/Zip PMne <br /> Tenant Mail AdAmss Cily StatelZip Phonc <br /> �' �U rl �r� <br /> Electrical Contractor Mail Address City SIatWZip Phone <br /> State License Number Conlract Price of Work <br /> j: ,�i I ,� JC. :�c n < < <br /> Proposed Use f Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Dono: <br /> NOTE: PLANS FOR ELE:CTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE ST�\TE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEF��RE CIN OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALl OTHER <br /> EDUCATIONAL FACIL;TitS AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN ^!ON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. MC OR AC CABLE. <br /> HANDICAPPED ACCESS'BILITY: 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 E�UIPAiENT WITHIN <br /> ACCESSIBLE SP.ACES 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 HAVE READ�ND EXAMINED THIS APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF 1�1WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL�E COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTINv'OF A PERMIT DOES NOT PRESUME TO GIVEAUTHORITY TO VIOCATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED AY THE OWNER OF <br /> THIS PROPERTY TO PfRFORM THE WORK FOR WHICHAPPLICAT�ON IS MADE�ND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> � FEE � <br /> ,1� _ , 3 /s o <br /> Signature �� Dalo <br /> ELECA�(REV 812001� <br /> ��7�3CJ 7 C)S�' <br />