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ELEC�RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Go(, sx- �,��-�,{1- fYlo.11 �.t���_, �c�e yy'� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Address <br />Contractor Mail Adtlress <br />� �.� �-�i'- 0'r �1�9 1..`� <br />State License Number <br />S �`G � .�-r ��- • <br />Propos d Use of Building <br />Description of Work to Be Done: <br />�}. �i'c.S3o0 ��{}(�� <br />Ciry State/Zip <br />V'lr�.l� Wo,.� �+tr��i" ca i <br />� <br />City StatefZip <br />City <br />Phone <br />Phone <br />5tate/Zip Phone <br />-�13�pp� � <br />Contract Pnce of Work <br />n,�,�7 ia�-„� <br />Contact Person (Plan Review) <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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SH�LL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTFIER 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 ABOVF THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE AEAD AND EXAM/NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PqOVIS10NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEO WHETHER SPECIFIED HEAEIN OR <br />NOT, THE GflANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOViTE OR CANCEL THE PAOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULQTING CONSTRL'CTIUN OR THE PERFOAMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE lh'ORX FOR WHICH APPLICATION IS MADE AND 1 COMPLY WI7H THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. ' <br />Signature <br />Oate <br />rEE ��-� <br />�il./ <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �3i2 �Z � <br />