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ELECTriICAL PERMIT APNLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 'Z�� L� �')����S ���/= <br /> PROJECT DDR�SS / ' '� ��1� C' �S � 6�/. / �U/ k� /. / / � �� '1,'1Z �� { <br /> �j��,�j�-ri�, (�.d� ll .l, C <br /> Owner Mail Addross City Stato2ip Phone <br /> Tena l. .� Mail Address City St2te2ip Phone <br /> �C'�-"����l�I.'�� <br /> Electrical Contractor Mail Address City St,de2ip Phone <br /> State License Number Coniract Price of V�brk <br /> Proposed Use ot duilding Contact Person (Plan Review) <br /> � �i��i �� fJl.r'i.f' i Ln_ I Ir�l.i1. /✓� �� ��IIr�,�.. 'I G A''I:� <br /> Description of Work to Be Done: L � <br /> L��( � �`_'C� <br /> NOTE: FLANS 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 /> EDUCATIONAL FACIUTIE�S AND ALL H�EALTH CARE FACILITI SI PLANS WSLLE E R V EWED BY THIS OFFI OTHER <br /> NOTC: WIRING IN NON-DWELLItJGS IS RE�UIRED TG BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEA4 RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ,1CCESSIBLE 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 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ' ^�EFEBY Cc"RTIFY THAT I NAVE FE4D AND EXAh11NED THIS APPL(CATION AND KNOW THE SAh1E TO BE TFUE AND COFRECL ALL <br /> PFOVISIONS OF L;16VS APoD ORDINANCES GOVEFM1'ING THIS TYPE OF INOFK WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br /> NOT, THE GFANTING OF A PERh"IT DOES NOT PFESUhlE TO GIVE AJTHORITY TO VIOL.�ITE OA CANCEL THE PFOVISIONS OFANY OTHER <br /> STATE OR LOCAL LAbV FEGULATING CONSTFUC7ION OR THE PEFFOFRIANCE OF CONSTFiUC710N. 7HAT 1 AM14 AUTHORIZED BY THE <br /> OLYNER OF THIS PROPEFTY TO PEFFOFM1f THE WOFK rOR WNICH APPLICATION IS b1ADE AND I COhIPLY WITH THE STATt <br /> CCNTFAC.'ORS LAIV 7827 FCN!AND 296.200 K'AC. <br /> ��1 � FEE <br /> 1� r—� <br /> Signaturc Datc <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �/D(�- (� � <br /> I <br />