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ELECTrsICAL PERMIT APE �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />.��D �- l�� l_1/ M�4iL �,��"� <br />PROJECT ADDRESS <br />y.2 S • ���, <br />�� l . � <br />�1/�i �/i �;.i ,??D ti 2 /L1.' '1d aL:. G�_�h i � � �/" �1,Y'T �..�a �Cf f C�`/ � �� <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Electrical Contractor <br />lL�'!_/tl�(i1 /�-2 �.l� <br />Stale License Number <br />� a,M A11{i- i l •4 ( <br />Proposed Use of Building <br />Mail Adtlress <br />Mail Address <br />Ciry <br />City <br />S:ate2ip <br />State2ip <br />�/ diro � <br />Coniract Prico of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �f O /) /�PCVCI,? �'C� � � FUi� p��7- � lt i.f C[i�%i <br />�!A �}G (i l�kl i. <br />� <br />Phone <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 PERMIT WI�_L 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 />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN 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(cj2. <br />ENVIRONMENTAL 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 THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFE9Y CERTlFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECL ALL <br />PFOVISIONS OF LAINS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COhiPLETED INHETHER SPECfFIED HEREIN OR <br />NOT, THE GFANT,'NG OF A PERhfIT DDES NOT PFESUM11E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LA6Y REGUL;ITING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />OLVNER OF THIS PROPERTY TO PERFORh1 THE WOFK FOR tVHICH APPLICATION IS MAOE ANO 1 COMPLY INITH THE 57ATE <br />CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. . <br />j i. <br />r/ <br />SigneWre <br />�-- <br />�i�-;;� ':, y Fee � � �U <br />i <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTEO <br />- , �, - � <br />; �� i � <br />