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ELEC�1-SICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��3�- t,vr ►'���,I�� �lv�- <br />PROJECT ADDRESS <br />Gar �, .�r'a V o s�� �� `� �-� ,� iQ' <br />Owner <br />Mail Addrass <br />City <br />�as <br />� 3 afro—Sob� <br />SIa�e2ip <br />Phone <br />Tenant Meil Address Ciry State2ip Phone <br />( Lir'�-�J' �CCC�+'iL �( J� � ,SL✓ SPa f� J�i ` �i�� �...J� /0 ���G <br />Electrical Contractor Mail Address Ciry State2lp Phone <br />PA�Y.�E�oia�E �,b Q��-BY�s <br />Slate License Number Contract Price of Work <br />5 . F �(wz<<''� <br />Proposed Use ot Building <br />Descriptian of Work to Be Done: �0 a Q �1V�¢ <br />-f� b T <br />c �rcu, <br />Contact Person (Plan Review) <br />C„i,� ,� SD <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 REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS Sl'STEM 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT IESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CER7IFY THAT 1 HAVE AEAD AND EXAM11INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COARECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF IYORK WILL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GII�E AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUL7TING CONSTFUCTION OR THE PERFORMANCE OF CON£'RUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM11 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS l.i1 W 78.27 RCW AND 296200 WAC. <br />�ignawre <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />vn�o <br />Eo�to�-c�� <br />FEE <br />