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ELEC r�ICAL PERMIT AP�LICATION <br /> CITY 0� EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 2 O o I G� �-.� � '��� <br /> PROJECT AODRESS • <br /> ��-tdf�r��l <br /> Owner Mail Address Ciry Steta2lp Phone <br /> U'.u/.�.v`., �u-<�s+../ �0 2� •- �-f�-Z S 1 - SZn/ �� i...,��� � 4-Z11 �I `��V�.-� <br /> Tenant Mail Address Ciry State2ip ph��e <br /> Eledrical Contractor Mail Address Ciry StatelZip Phone <br /> State License Number Contract Price of Woric <br /> Proposed Use of Building , Contact Person (Plan Review) <br /> Descnption of Work to Be Done: ��(�,(/1- �U .( � � , _ <br /> � <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 CAR� FACILITIES PLANS WII_L BE REVIEWED 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 /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOFi. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILC BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN!OTHEF <br /> STATE OR LOCAL 1�7W REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONS7RUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. . <br /> �Q(� �_— FEE <br /> Signature Date <br /> DE81T&CREDIT CARUS ARE NOT ACCEPTED � o�v 3-oz� <br />