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ELECT` ►�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 /> ..C-�. l G> L%/I/t C�A /I�'� <br /> PROJECT ADDRESS <br /> /�C�c� i. �%rc� ,11 /G> �-v,e'�s _ _�i��Xi-_ GC�/1- j�)':��i sis�sto=,��`iL <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Addross Ciry Stale/Zip Phono <br /> (li G�I�/ ��Z <br /> Electrical Contractor Mail Atldress City State2ip Phone <br /> State License Number Contract Price of Work <br /> �%'�/DL- NC C- <br /> Proposed Use ol Building Contact Pe:son (Plan Review) <br /> Description of Work to Be Done: ...L C%P 9�i�� .�l�R�i�c �i/)//1.Ap c <br /> v <br /> 1.�0(7,N.?- I - � 5 �.Nf� /�.c✓ 3 — ..10 A.r//� G-�.E'c ...i 73 <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 CARE FACILITIES PLANS W ILL 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 SYSTEtvI RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCF.SSIBLE ROU7ES 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 OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE FOUTES 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 HEFEBY CERTIFY THAT 1 HAVE READ AND EXAM1IINED THIS AFPLICAT/CN AND KNOW THE SnM1fE TO PE TFUE AND COFRECL ALL <br /> FFOVfSIONS OF U1 WS AND OFDINANCES GOVERNING THIS TYPE OF WORK IYILL 6E COMPLETEO WHrTHEA SPECIFIcD HEFEIN OR <br /> NOT. THE GRAN7ING OF A PERMIT DOES NOT PAESUM1IE TO G;VE AU7HOFITY TO VIOLATE OR CANCEL THE PFOVISlONS OF ANY O7HER <br /> SLd TE OR LOCAL LAW FEGULiTING CONSTFUCTION OR THE PEFFOFh1ANCE OF CONSTFUCTION. TNAT/Ahl AU7HORIZED BY THE <br /> OIVNER OF THIS PFOPERTY TO PEFFORM THE WORK FOF IVHICH APPLICATIDN IS AfADE AND 1 COh1PLY LYITH THE STATE <br /> CONTR.4CTORS LAW 18.27 RCW AND 296200 WAC. <br /> � <br /> ��--- � � � ,.- <br /> �,% '�a ,r'�1 �i1��� i ' , ,� T-c'�, �� PEE <br /> � � Signaturo � Deta <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �D�v I �� 1 <br />