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ELECTr�iCAL PERMIT API-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />-;l.lJ� �.�a1�(,V � �i�, C VC�✓�'.� ����� 1"I� 2� � <br />Owner <br />� �' � � <br />Tr.nant <br />hlaii Address <br />Idail Address <br />� SQ, }'ti u. � <br />Ciry <br />City <br />State2ip <br />Statei?ip <br />Phcne <br />Fhcne <br />ril,U�1 fi� <br />ElectriCal CoNraetor 1�7a�1 Adtlress Ci1y State2lp Phone <br />NIA �lf� <br />State License Number Coniract Price ot Work <br />, _ �� <br />C�.Lz�`i� <br />��(_"����C o-'��7�� � �Vv� ���v�� -i �L�I�CS�L�ti 1>LlVAC��>'\1 �r`jL�l <br />Propo;ed Use of Building L� Contact Person (Plan Review) <br />Descriptian of Work to Be Done: (,� Q�Y � i�� � ��i \ Y��`1�� U_ s ��� C leL�1 �' 1 C_G`I <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FAC;ILITIES UTILIZING STATE FUNDS P�IUST BE <br />AFPRUVED BY THE SlAI'E OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. AL� OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED 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 />41'ITHIN 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 />�NVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />,1CCESSiBLE SPACES OR AL�NG 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 />; i1EFEBY CEATIFY TNAT 1 HAVE FEAD -1fdD EXAhiI�VED 7HIS APPUCATION .1ND KNOIN 7'NE SAh1E TO 6E TFUE ANO COFFECT. ALL <br />�4C�ilSIONS OF LAWS AND OFDINANCES GOVEr7NINt3 THIS T1'PE Or WOFK WILL 6E COftiPLcTED WHE7HEF SPEpFIED HEREIN OR <br />IJO i", THE GRANT�NG OF A PEFM1IIT DOES h'OT PFESUM1IE TO GIVE AUTHOPorY TO VICl.�7 TE OF CANCEL TNE PFOVISIONS CF ANY OTHEP' <br />$TATE O�i LOCAL L7lY REGUL:iTIfJG CONSTFUCTION Ofl THE PEflFORMANCE OF CONSTF.UC710N. 7HA7' I AM1f AU7HOFIZED 6Y' TNE <br />Ol7NEfl OF 7HIS PROPERTY TO PEAFORh4 THE NIORK FOR WHICH r7PPLICATICN IS hIADE AND I COb1FLY VM19TH 7Hc SL:Te <br />CONTRACiORS LAW 18.27 FCW AND 296.2G0 WAC. <br />Signa�ure <br />oate <br />FEE <br />DE91T & CREDIT CARDS ARE NOT ACCEPTED G�`j U� - �%� � <br />