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�L�C"�RICAL PERMi� A�'PLICATION <br />CITY OF E`JERFTT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />lc-�l � r����'ofl .e,( C�:�.��, . <br />PjROJECT AD7% ESS —� (� <br />l ����'c, �Cf� ��l�,l'cs�i� �C?(� ll ��JS � 1 � ��f'�. �l�i�� <br />7ZD ^ <br />� t�'-1 <br />Owner Mail Address City Siate/Zip � Phone <br />��c��lX�.��'�xi�a�����1/ ���i5� �c�e�.�-� GY�I.I l,(,�u� ���r.-�i Co�vh' <br />Tenant Mail Address Ciry State/Zip Phone <br />�n��� c.��eQ ,r��r ����� s� ����-� �'.�.��,� ��� ����� �3�f�a ��s- <br />Elect�ical Cont�actor Mail Address City State2ip Phone <br />C�-�C�n�� z �� � �K � ,���, c�� � <br />Slate License Num6er Ccntract Price of Work <br />J���'C�� ��_ �� ��1�� <br />Pruposed Use of 2uil ing <br />Description of Work to Be Done: <br />�j .� / <br />�. I �`f � �J'�� /� i'� <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 Or EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES aND ALL HEALTH I;ARE FACILITIES PLANS W ILL 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 l"HE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE N10UNTED 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 />1 HEFE6Y CERTIFY THAT I HAVE READ AND EXAh11NF_D THIS APPLICATION ANC KNOW THE SAME TO BEi TRUE AND COflFECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHE; HER SPEGFIED HEREIN OR <br />NOr, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL i HE PFOVISIONS OFANY OTHER <br />STATE OR LOCAL LAV✓ FEGULATING CONSTAUCTION Ofi THE PERFORMANCE OF CONSiRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FO� WHICH APPLICATION IS MADE AND I COMPLY lh'1TH THE STATE <br />CONTRb�CTORS LAW iB.27 RCW AND 296.200 WAG � <br />� � �(�. FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � U(DC�S {/�D <br />