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ELECTHICAL PERMIT APF- �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'i"f, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ,�� X S- (-�(��: r�7T ���-c � <br /> PROJECT ADDRESS <br /> NZS <br /> � oc � �' �/ /�ci ��� �. ,� f � 2 ��� l���....,.��.� �c,t�rn,�l(�� . `�>��O/ �5;�-�/Sb <br /> Owner Mail Address Ciry Stale2ip Phone <br /> Tenant Mail Address City State2ip Phono <br /> /lil(' ('lf�� �f. L-_�rr�/-�/�C <br /> Eleclrical Conlraclo Mail Address City State2ip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: � � ,cT)--� � ��p <br /> �Y-f' C��1 S �c r�'rf �n—l�/n-� `�`� C.—� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIUNAL, 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 WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYB, MC OR AC CABIE. <br /> HANDICP.PPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> '.NITHIN 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 /> GNVIRONMENTAL AND OTHEF CONTROL RECEPTP.CLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> �+ANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> �,�FEBY CERTIFY THAT I HAVE READ AND EXAh11NE0 THIS APPLICATION AND KNOIh� THF SAME TO BE TRUE ANO COFFECL ALL <br /> ���;OVISlONS OF LAWS AND ORDINANCES GOVEnN(NG THIS TYPE OF WORK 6VILL 8E COMPLETED 4VHETHEF7 SPECIFIED HEAE/N OR <br /> � :CT, THE GRANTING OF A PERhi17'DOES NOT PF,ESUME TO GlVE AUTHOFITY TO'�IOL4TE OR CANCEL THE PFOVISIONS OF ANY OTHEA <br /> � =L4TE OF LOCAL LAW FEGULATING CONSTFUCTlON OR 'fHE PEFFORA1ANCE OF CONSTAUCTION. THAT I AM AUTHOFIZED BY TNE <br /> �IVNEF OF THIS PROPERTY T'7 PERFOFdI THE lYOFK FOF b�HICN .7PFLICATION IS MADE AND I COMPLY lNlTH THE STATE <br /> ��:�TRACTORS LAW 1827 flCW AND 296200 WAC. <br /> � � <br /> i <br /> c.�' ����,�� FEE <br /> SiynaWre Da�e <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �V'�p�D�I O� <br />