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ELECT'�� �ICAL PERMIT AP► �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�'�' � � , �� <br />PROJECT ADDRESS <br />�i' L �7-e� �v /7.J��1s �' U�h�— Lr)/� -�f :Y2 <br />Owner <br />Tenant <br />Eiectrical <br />Mail .4ddress <br />Mail Address <br />Addrass <br />S.�7c'�����%/ ti �i'i< <br />Stale License Number ' <br />� 5.�- J� Ct �J J� �•� �O �� <br />Proposed Use of Building <br />Description of Work to Be Done: (,�)[ h <br />City <br />Ciry <br />Ciry <br />State2ip <br />State2ip <br />StatefZip <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />Phone <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 BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF b'JAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAIJ 36 INCHES ABOVE THE FLOOR. <br />1 HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF L7 WS AND OADINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PAOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW IiEGULATING CONSTRUCTION OA TNE PERFORMANCE OF CONSTRUCTION. THAT I AA1 AUTHOAIZED BV THE <br />UWNER OF THIS PqOPERTY TO PERFOAAI THE WOFK FOR WHICH APPLICATION 1S AIADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signawre <br />_ / q^p <br />oe�a <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �C�{p,�-fl$1 <br />FEE <br />