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ELECTRICAL PERMIT AwPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /CiC;C� S'_F �✓r•;P�f' l�iill U.�iU S(if"C �102 E�'r:-rl� <br /> PROJECTADDRESS <br /> OWnef Mall Aatlress City Stato/Zip Phono <br /> 7 <br /> ia�i�-�i. 12�rh �00� 5� E��•�eN /US•1/�,��i�i �u,'f�40� ��r;�� L�l;l `��.:D�� <br /> � <br /> Tenant Malloddross Ciry State2lp Phone <br /> 5��� l-- �i�C .C%C �«fll 'E' L�,�/� l�nn�r7�� f� � .SCt;���f' Gr�i7" �/�l`��� ".?.Ch'� J.,Z�� -�C'��� <br /> ElectncalConiracror MellAatlress � Clty Slate2�p Phone <br /> � ' <br /> `��1�.ZIU��LJ(.;/. 1�13 �',Z`h,' �-,- <br /> State License Number Coniract Pnce of Work <br /> L�r''�L C�cs:_" <br /> Proposed Uso of Buildinq Cortact Person (Plan Review) <br /> \ L (1 J i <br /> Descnplion o1 Work to Be Done: ���-Y-�r��" �. �— � ,f`�(�j�,��' �;�i r����_ <br /> NOTE: PLAIJS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STA7E 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: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPF.D ACCESSIBILIN: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> IViTI�IN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> Of= 15 INCHES HBOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> FNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPh1ENT WITHIN <br /> ACCESSIBLE SPA�ES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RP.NGES OF WAC 51-20 SEC. 3106(b}4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLbOR. <br /> � Mi77E�Y CERTIFY THAT I HAVE READ ANO EXAMWEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COftRECT. ALL <br /> ��ItJV1510N5 OF LAWS ANO ORD/NANCES GOVERNING Th;IS TYPE OF WORK WILL 8E COMPLETEO WMETHER SPC-CIFIED HEREIN OR NOT, <br /> ;r-i Gl2ANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTMER STATE <br /> � iiN LOCAL LAW REGULATING CONSTRUCTION OR THE PcRFORMANCE OF CONSTRUCTION. TNAT 1 AM AUTHORIZED BY THE OWNER OF <br /> i 1 rN:l!'ROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH 1'HC-STATE CONTRACTORS LAW 18.27 <br /> ! , i;tL'�ND 296.200 WAC. <br /> i <br /> � �� CC'i : �i� - °,��2C-Li � � �'� FEE <br /> Sigr.ature Date <br /> ELECA�IREVB%.001) � n .^ I <br /> �a3cS-d 5� , /;�,<%;-�;;-�� <br />