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ELEC1 �ICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i <br /> 1` �� ��� � ;�; ;� � I� ' t�i�. <br /> ��V //l`/ <br /> PROJECT ADDRESS <br /> � _).,� �. !! l llc—(_.i_` ��%�ili �� i � �," � �� i � L'��L � � . �i � �1 • , , , � '�'iL <br /> Owner Mail Address City State2ip Phone <br /> l�;��l <br /> Tenant Mail Address City State2ip Phone <br /> i <br /> 1 � i l � .�/�' � i. `- itii,! � <br /> Elecirical C^rhactor tdail Address Ciry Stato2ip Phone <br /> Sfate License Number Contrect Price of Work <br /> ���'� I ��'J i � � � ! ( � '> r� i 'tC i <br /> Proposed Use oi Buildng � Contact Person (Plan Review) <br /> Description of Work to Be Done: �'- I ! � � i i r..(., i� ^-- � �` r' � �t I_ � �I ���> � /v / =rt +� ;�1 i�.� <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 /> [DUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL ANU COMMUNICATIONS SYSTEM RECEPTAGLES ON WALLS <br /> W ITHI�J ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAL� BE MOUNTED A MINIMUM <br /> OF t, !NCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIFONMENTAL A�4D OTHER CONTRUL RECEPTACLES AND OTHER OPERABf.E EOUIPMENT WITHIN <br /> ACCES,318LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE ��IOUNTED WITHIN THE REACH <br /> RANGE.S OF WAC 51-20 SEC. 310G(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERFBV CER77FY THAT I HAVE READ AND EXAMINEO THIS APPUCATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> PROVISlOM1S OF LAWS AND OFDINANCES GOVERNING TNIS TYPE OF WORK WILC BE COMPLETED WHETHER SPLCIFIED HEFEIN OR <br /> NOT, THE GHANtING OF A PERMIT DOES N07 PRESUM14E TO GIVE AUTHORITY TO VIJLA7E OR CANCEL THE PROVISIOh'S OF ANY OrHER <br /> STATE OR LOCAL LAW HEGULATING CONSTRUCtION OR 7HE PEFFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOF Wh!CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br /> � � / <br /> , . � I �l� �,���j .:� � �%�'i���. FEE <br /> � � <br /> Signature - Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �U-'�1' �'-'� <br />