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� ELEC' RICAL PERMiT AFrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��lS ,���ss��ti A�e <br /> PROJECT ADDRESS �1 ) � <br /> ��ia.� YPf�i<� /d�2/ CVFtc�feenLJ�� C�JH"�-� �� �20`� 31y�7_j2'� <br /> Owner Mail Atldress City ( State2ip Phone <br /> Qo.�; C�nn 1�� ti .,,� I3iS ��SJ��` �9 e c ue�e�1- � WF} 982a/ <br /> Tenant Mail Adtlress City State2ip Phone <br /> Elecirical Contraclor Mail Adtlress City State2ip Phona <br /> Slate License Num6er Contract Pnce of Work <br /> Proposed Use of Building Contact Person (Plan fieview) <br /> Descriplion of Work to Be Done: �q,.i�„Q c�-��� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILII'IES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE Oc= 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 ;N NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESS�BLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SF'ALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC 3106(c)2. <br /> EN'JIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND CORFECL ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS 7YPE OF WORK WILL BE COMPLETED WHETHER SPEGFIfO HEREIN OR <br /> NO7', 7HE GRANTING OF A PEqM111T DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> SrATE OR LOCAL LAW FEGULA7ING CONSTFUCTION OR THE PERFORM11ANCE OF CONSTRUC710N. THAT 1 AM AUTHOR12ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WOFK FOR WHICH APPLICATION /S MADE AND I COM11PLY WITH THE STA7E <br /> CONTRACTORS LAW 1827 RCLV AND 2P6.200 LYAC. <br /> �, �;� �, , FEE <br /> Si�nature Da <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED � <br /> �d.���-ia� <br />