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ELECTi,ICAL PERMIT APF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98•'_01 <br />425-257-8810 - FAX 425-257-8857 <br />�Zo SL i� �)E2Ltfi �fa\\�ct� <br />PROJECT ADDRESS <br />Owner Mail Address <br />City �.-. c� � 1 r.. q State2ip <br />��� 0�`C�o Ci� o c.� S �-` C ��\e 2�o o, .,-t � 2 C c( . <br />Tenant Mail Address ���y <br />��co 'l�� P'� �ao 5c t u L rz�-�� r <br />Electncal Conlraclor ldail Address a L C� City <br />� � �rt 1�0.0 a-�.Uee�:S�wa ��wy �(qj. <br />State Lidense Numb�r —�—�- <br />Las 5�0.��0,� <br />Praposed Use of Bu�iding <br />Description ol Work to Be Done: <br />�1 <br />S�ate2ip <br />q\� V.1R�� <br />o u a-t Slate2ip <br />�l � t� ' Phone <br />�J`(-OO4 i <br />Phone • <br />i1- Wa . <br />QQUN W �'` <br />Lo� a13 Phone <br />� � �� �% $�O <br />Coniract Price of Work <br />�0�-7��-��3y <br />_�V � �•�oac2eqe2 <br />Contaci Person (Plan Review) <br />�� <br />L���� N l �J C Ci �-+I NC�S n �l %; X�.C� i N <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, 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 PEAMIT 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-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WI7HIN .4CCESSIBLE SPACES Ofl 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 />ENVIRONh4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES 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 ThIAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CER7IFY THAT I HAVE READ AND EXAMINED T'N/S APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECL ALL <br />PFOVISIONS OF WWS AND OROINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WNE7HER SPEC/FIED HEREIN OR <br />NOT, THE GRAN7ING OF A PEAM/7 DOES NOT PRESUME TO GIVE AUTHORITY TO VI0G7TE OA CANCEL THE PROVISIONS OF ANY OTHER <br />STA7'E OR LOCAL CAW REGULAT/NG CONSTRUCTION OR THE PEFFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNE <br />OIVNER OF THIS PROPERTY TO PERFORAf THE IVORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 FCW AND 296.200 tNAC. <br />/ � \ <br />✓ � C�O� (� •� �-� p � FEE <br />Signature r Dato <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED q <br />L� U (y - � / <br />