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ELEC � RICAL PERMIT AF �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />I 50 g W. M,� ��c.� '�L...� <br />���C c�•1A 9�Zo3 <br />PROJECT ADDRESS 9zs z5� <br />/,�11C� �ti+A+GY Cc.c.f,J s�l-��rt 1Sog c,-�� l.,tu�c��1� g��� �,Esc.�7i l,v� �SZ�3 -2� <br />� wner Mail Address City State2ip Phone <br />J <br />Tenant <br />Mail Adtlress <br />City <br />Stat�ip <br />Phone <br />Eiectrical Contractor Mail Address City State2ip Phone <br />License Number <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Wark to Be Done: __ � 1�qN(��C b�" S��V 1 L' �C '—' �/� n/��� <br />— �W,� <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 WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS 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 EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE R[ACH <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 I HAVE FEAD AND EX�MINED THIS APPLICATION AND KN06Y THE SAME TO BE TFUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT COES NOT PRESUf�4E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC.TORS LAW 79.27 RCW AND 296.200 WAC. � <br />Signature <br />9 03 FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �p'3D 8�p37 <br />