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ELEC� _ �ICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1 <br /> � � (1 <'�� ('�/� �� <br /> PROJECT ADDRESS <br /> t�,, n n� � �--1C������ �f�S�/o l l�� <br /> Owner Mal�Address City State2lp Phone <br /> Tenant Meil Address Ciry Stete/Zip Phone <br /> � �crr 'Cc7s��.T,n�. �v�c�,xo�� Sn c� �urrt�rc% t.ck� t�c��i/ <br /> Eiectrical Contractor Mail Address Ciry StatelZip Phone <br /> � l /�U.lEc����7//�/� <br /> State License Number Contract Price of Work <br /> �C� i�'lcrf�.� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of W ork to Be Done: �'a � �9�f'" 7� FX I 5 I � ✓L q W t T" t ✓�Q // ��VI �U���� <br /> -N /,4 t`f'� <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 REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALON� ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE F�OOR. WAC 51-20 SEC. 3106(c)2, <br /> ENVIRONti1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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 /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISfONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> CWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS hIADE AND 1 COMPLY WITH THE STATE <br /> CJNTRACTORS L4W 78.27 RCW AND 296.200 WAC. <br /> �� '�J!4 lI I(9 Z OD �� FEE <br /> ignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E�a �`� I <br />