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ELEC� 'RICAL PERMIT A� PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425457-8857 <br /> �U��.0 Oq�GS ��V�c. �VLC'Q V \ WG . <br /> PROJECT ADDRESS <br /> ��¢��v� �o v-C c<`� 2 G � �0 00.k� �v �L�hos�olh— <br /> Owner Mail Adtlress City State/Zip Phone <br /> � ��,�� !-c c e c,5� �G l U c�(Gc �v C C��— <br /> TenaN Mail Address City State/Zip Phone <br /> Electrical Contractor MTiI Address City State2ip Phone <br /> O W V`� � <br /> State License iVumber Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descrip\tion of Work to Be Done: ���Lc� C � �C�;"� -�Q ��„�s v�p�cC �CO �n^ <br /> o� C� \��W�� ���at, acc. � rc^�k�c �0 2-C� w�� <br /> NOTE: PLANS FOR ELEC:TRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STA"�E 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�>ND 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 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 CnNTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE P�IOUNTED 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 /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OA CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONS7'RUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WOAK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE :iTATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. . <br /> �. <br /> �� G 2 FEE <br /> Signature Dale <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED F G3o�{-GS?_ <br />