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ELEG'� . RICAL PERMIT A� r�LICATION �i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��� � � ��� �� <br /> PROJECT�D ESS <br /> I�/� %'�G��✓SB � S�"1� �2 �1/-P.✓�1` GU,�/ ��020� <br /> Owner Meil Address Clry State2lp Phone <br /> Tenant Mail Address City StatelZip Plwna <br /> /� � � � <br /> Elecirical Contractor Mail Atldress Ciry StatelLip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plen Revlew) <br /> Descriptior,of Work lo Be Done: ��[ � � �"���G��•-( L `l / ` � ` vG�` �✓ ��S�f'e� <br /> � r -f��� <br /> NOTE: PLANS FOR ELECTRICA:. 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 /> EDUCATIU�vAI. FAC:ILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCL=SSIBILITY: 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 ABOV�_THE �LOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCES�IBLE SPAC•ES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC :i1•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY iHAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. R�L <br /> PROVISIONS OF LAVlS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRANTING QF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW�4EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOHIZED BY THE <br /> OWNER OF THlS PROPE.RTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br /> CONTRACTOFS LAW 78.27 RCW A7JD 296.200 WAG � <br /> 1 <br /> /i C <br /> � lJ:�t,�f,t ������ ;��(/1-�i � � 7`�3 FEE <br /> � <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E o3o4-Oi� <br />