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ELEC1 r�ICAL 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 />�/a S� n�Uf�i �-z� ��� ��� L- - �� <br />PFOJECT A��RESS <br />0 <br />z� �ul��u� 3�v� <br />((L� <br />� � i8'�3 3����6 <br />Owner Mail Address City StatelZip Phone <br />Q(,[JP �— <br />Tenanl Mail Address CiTy State2ip Phone <br />�,� (L—✓l� ���.ZT1ZcZ ' <br />Electrical Contractor Mail Address City Stete2ip Phone <br />State license Number <br />��-'�—� S �'Q-�L�'l4� <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: /LJ��f/ /ZGf%���0� �L��� G� <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: 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 EQUIPMENT �NITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F/1ND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAAIINED THIS APPLICATION AND KNO W THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND OFDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHEA SPECIFIED HEFEIN OR <br />NDT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VJOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />S'�ATE OR LOCAL L4W REGULATINr CONSTRUCTION OR THE PERFOR61ANCE OF CONSTRUCTION. THAT f AM AUTHORIZED BY TH ° <br />OWNER OF THIS ?ROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY INITH THE STA'[ <br />CONTRACT S LAVV 1H.27 RCW AND 296.200 WAG. <br />2, '�> �f����l'�� � U 2. p FEE <br />�� � �/ / � <br />Signature <br />DEBIT & CREDI7 CARDS ARE NOT ACCEPTED <br />� �a <br />