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ELE fRICAL PERMIT AI-PL.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �d 7 Co r l, � i� ,!� I� <br /> PROJECT ADDRESS <br /> /-' v �C r y'11� ��iS �8� G y <br /> Owner Mail Address City Slata2ip Phone <br /> L.P n� � �-- ��y o � <br /> Tenanl Mail Address City Sta�e2ip Phone <br /> ����1� <br /> Eleclrical Contractor Mail Address Ciry SiatelLip Phone <br /> Slate License Number Contract Price ot Work <br /> ,:� /%Z <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: 1� ��J .Sl%�:�;�� � QG�-� i'L`,^� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVEU 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 BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM HECEPTACI_ES ON WALLS <br /> WITHIN ACCESSIDLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE F�OOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLFS AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN 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 CERT/FY THAT I HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW THE SAME Tp BE TRUE AND CORREC7 ALL <br /> PROVISIONS OF LAWS AND ORD/NANCES GOVERNING THIS TVP� OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEAAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLITE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTRUCTION OR THE PERFORh1ANCE OF CONS.'RUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH/S PROPERTY TO PERFORM THE WOFX FOA WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAG. <br /> �� �O ��� FEE <br /> D..t .0 ./�l<G� <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E �3a 3 -c�s3 <br />