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ELECT�ICAL PERMIT AP��ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />-ri I 5. r'� �n.� r�r Y�1 c� �� l � � c� � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />ciry <br />State2ip <br />� , � �1 . ..�..: r <br />Mail Address <br />City <br />State2ip <br />Phone <br />Phone <br />Mm/nT ��-QC�t�1C Ltl• 1�7SfQy C�rnn-n 1Z� SnnUnm�CH �LCI• CISCr�qO 71a�a'�1-d3�GS <br />Electrical Contractor Mail Address City j State2ip � Phone <br />mooe� fc 4a y� 7—o� ��,oc�o <br />State License Number ��� Contracl Price of Work <br />� o �e � i�o � <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Contact Person (Plan Review) <br />T���n�r<����c.rS - - <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 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 RE�UIRED 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 SFC. 3106(c)2. <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 HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV/SIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY UTNER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORhfANCE OF CONSTqUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. � <br />FEE <br />Signature <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED Ept{p(a -O7� <br />