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ELEC TRICAL PERMIT A"'PLICATION <br /> CITY OF EVERETf' PERMIT SERVIC�S <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � y/� L� �� i3/�P�7 <br /> PRO.IECT ADDRESS <br /> 7P .F� G�,����!�,�r� S��a•� �v � 2 �, ,— l,J� �B,zcl ? <br /> Owner Mail Address Cily Slate2ip Phone <br /> T/ <br /> Tenant Mail Address Ciry State2ip Phone <br /> n�� ��J9Lr�T� �LLcT (�13 I{t ��j— /�v� != V �(/6#- �p�G^l 4',25=� 5"?• �33s' <br /> Eleclrical Contractor Maii Address Ciry Slate2ip Phone <br /> �' �� <br /> ,9 �s ���� ;-u l�i�- �'v — �, �n ? <br /> State License Number Contract Price of Work <br /> S— � — � Q � �-� � r—ti'..' — <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of Work ro Be Done: �'�/� dJ� jfRUe�C Q (I"� c.� ( TD /�/F�i r�-- 6h����c�• <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 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 THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RP,NGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FV THAT 1 HAVE READ ANO EXAMINED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRc�T. ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WhIETHER SPECIFICD HERCIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE F.40VISIONS OFANY OT HcR <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOP.IZED BY Th'E <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. � <br />'�� _, � / LZi C� — � L/— l"�i 3 FEE <br /> � <br /> ����n��Ey��� <br /> SignaWre �ate �.___ <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E03D�-0S 1 <br />