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ELECTF.�CAL PERMIT APP�ICATION <br /> CITY OF EVERETT PERMIT SERVICIES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �o.? � �/�: ,., ra, z /.Jr. <br /> PROJECT ADDRESS <br /> �� r � r „L=.�7���, t-� t <br /> Owner Mail Address Ciry State/Zip Phone <br /> Tenant MaJ Address City St e2ip Phono <br /> ,/!/ :��rvn �/rl7" L��Cc. %rl. ������/(DI ;:%»,(- <br /> Eleclrical Contractor Mail Address Gity �Slate/Zip - Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion al Work to Be Done: � C�'"� �..�,G' 6 ��+.-h E' -, �.0 �i •�d O� o�r <br /> / ' <br /> NOTE: PLANS FOR ELECTRICAL WCRK 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 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 CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCES�!BLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & r AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> i HEFEBY CERTIFY THAT I HAVE FEAD AND EXAMINED rNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF L.7 W5 dND ORDIN4NCES GOVEFNING tHIS 7YPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOt. i HE GRANTING OF A PEFMIT DOES NOT PFESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STA7E OR LOCAL LAIM1' FEGULATING CONSTFUCTION OR rHE PERFORh4ANCE OF CONSTRUC710N. THAT 1 AM AUTHORIZED BY 7HE <br /> OPINER OF THIS PFOPEFTY TO PEFFOFh! THE WOFK FOF Ll'HICH APFLICAT(ON IS MADE AND 1 COhM1'PLY INITH THE STATE <br /> CO,VTFACTORS L:1 W 18.27 FCW AND 296200 WAC. <br /> ��!/ � l A�?��c7/� FEE <br /> � � <br /> �Signature ` Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �� <br /> 4JG 'r � <br />