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ELECTkICAL PERMIT .AP�-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� I 2 � J +, -'�(s-t-� �,e.�q �2 , <br />PROJECT ADDRESS <br />_ r 1� c �,^-, �,. ,�.,� ;� �1 �, - s�- 0 9 s z <br />Owner Mail Address City State2ip Phone <br />Tenant <br />��J \ wYJ <br />Electrical <br />iJ>�0 i�=s �z�,��= <br />State License Number <br />� Y /L <br />Proposed Use of Buiiding <br />Mail Address <br />=.-.v�, � � <br />Mail Address <br />City <br />Stata2ip <br />� � Co i 11 .q.�i , <br />Ciry <br />State2ip <br />Phone <br />L y�. i,�.� e.w4, un . <br />Phone <br />�iz,J-2�2-8'S8Y <br />Contract Price of lNork <br />Contact Person (Flan Review) <br />Descriplion ol Work ta Be Done: Tn1� :/1�c-c._ � 2j A�� S� ��l� � <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 EVERE'1 i 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: W IRING 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 ACC[SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A M,INIMUM <br />OF 15 !NCHES ABOVE THE FLOOR, WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHFR CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE RCACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INC� iES ABOVE THE FLOOR. <br />1 HE•REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF V1 WS AND ORDlNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED Wh'ETHER SPECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUrHORITY TO VIOL4TE OR CANCEL THc PROVISIONS OF ANY OTHEA <br />STATE OR LOCAL U1 W AEGULAT/NG CONSTRUCTION OR THE PERFORM11ANCE OF CONSTRUCTION. 7HAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND 1 COh1PLY W/TH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. � <br />� <br />� <br />S' neture Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED G� �J/:{� f-l'� <br />FEE <br />