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E�LECI�ICAL PERMIT AP��ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25'-8857 <br />�, l � � � �-11 � ct.���� � � � �� <br />PROJECT ADD/R�ESS \ � l ` <br />\ /:`.lr.�C \ l`\\�)C1\ �,�}1 \r�y�S \l��\�ir �\�l'\'t'� �`��� <br />Owner <br />Tenant <br />--'/' , � <br />Electrical Contractor <br />Mail Address <br />_ h;eil Address vA <br />.i1tC 1 S JC I��' S�' ��1-- <br />Mail Addre�s <br />1CJL-LL=�X�IIC�C�;�. - 1� <br />State L�:ense Number ��11 I <br />� �_�`���`� <br />Pn �osed Use af Buildi <br />1 � <br />Description of Work to Be Done: � l�� •, a� C ���� 1 <br />�� � C ` -�1"�� � ,X r.t- � � i � r (�(" t�'C . <br />--5 �.5=� / <br />City <br />Cily <br />State2ip <br />State?ip <br />, ;, <br />� � ri✓` `-'- A l <br />State2ip <br />Contract Price of Work <br />�C <C' �� ' "YY�� C � � <br />tacl Pe son (Plan R view) <br />�'� � yl -���k <br />Phono <br />Phone <br />�� ' '`i-,`i��� <br />Phone <br />� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'iH SUCH JOBS MUST SHOW THE STAT[ <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 29G-46-140. ALL OTI�ER <br />EDUCATIONA� FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY 1'HIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO Bc IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON 1NALLS <br />WITHIN ACCESS�BLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MININiUM <br />OF 15 INCHES ABOVE THE FLOOR. VVAC 51-20 SEC. 3106(�)2. <br />ENVIRONMENTA� AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT 1,1�!THIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MUUNTED WITHIN THE P.cACH <br />RANGES OF WAC 51-2Q SEC. 3106(b)4 E& F ANQ NO7 LESS iHAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO EL TRUE AND COARECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK INILL BE COA4PLETED WHETHER SPECIFIED HEREIN OA <br />NOT, THE GFANTING OF A PEFMIT DOES NOT PRESUME TG GIVE AUTHOFITV TO V101..4TE OR CANGEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATlNG CONSTFUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORlZED BV THE <br />ONJNER OF THIS PROPERTY TO PEFFORM THE V✓OAK FOR WHICH APPLICATION IS MADE AND 1 COMPLY Li'17N THE STATE <br />Cv^NTRACTORS LAW 78.27 RCW A�VD 296.200 WAC. � <br />1� <br />i �- —�— - — '_ <br />, � � ,. <br />�� �,,\� � �' _� —C�5 FEE <br />�. � � �� \; � <br />�,. — <br />~ ci,,.,e�—�� Date <br />DEBIT & CREDIT CAF�DS ARE NOT ACCEPTED ��5 p�-d SS <br />