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ELE�TRICAL PERMIT ti�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> :�200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I�� � C�-v��c� �4�re. _ <br /> PROJECT ADDRESS <br /> �nn rl� 17 Cr� ,� � I'�C� CT,-� /-4-� ���ese�!-1� �.J� � 4��u1 <br /> Owner Mail Atldress City State2ip Phone <br /> � <br /> Tenant Mail Address City State2ip Phone <br /> (� c..� f�L 12 <br /> Electrical Conlractor Mail Address City Stete2ip Phone <br /> /�l l i <br /> Slate License Number Contract Price of Work <br /> �, n�f� �r-.,ti:\L — <br /> Proposed e of Building Contact Person (Plan Review) <br /> Description af Work ro Be Done: � w�D�� ���� �'-��� 'a � ����� �V� l�1�'-�-✓ <br /> ;,�J Jti ( �S-��\ �l�.w k�1x'���' � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCA'iIONAL, 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 FEVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D 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 OPERAB�E EQUIPMENT 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CERTIFY rHAT I HAVE READ AND E.KAA1INED THIS APPLICATION AND KNOW THE SAME TO BE TAUE .7ND COFRECL ALL <br /> PROVISIONS OF LiWS AND OFDINANCES GOVERNING 7HIS TY'E OF WOFK WlLL BE COMPLETcD WHETHER SPECIFIED HEFE/J OR <br /> NOT, i HE GRANTING OF A PERM1IIT DOES NOT PRESUh1E TO GIVE AUTHCFITY TO VIOLATE OR Cl7NCEL THE PROVISIONS OF ANY CTHER <br /> STATE OR LOCAL L;7W FEGUL.ITING CONSTRUCTION OR 7NE PERFORIdANCE OF CONSTRUCTION. THAT 1.4M AUTHO41ZeD PV TNE <br /> Ol4'NER OF THIS PFOPEFTY TO EFFORM 7HE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTFACTORS LAW 18.27ACW AA� � 6.200 WAC. <br /> � � �� 4 <br /> /� <br /> `� �[%�/-l. � �� � } 7i�C7� IO � _ FEE <br /> Signature Date <br /> DEBIT&CRFDIT CARDS ARE NOT ACCEPTED EO 71� '�'3 2 <br />