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ELEC'� RICAL PERMIT AFr�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�. �/ 3_� %l i�� x' �/v'�(' <br />rn�dc�.i MV1J�1C <br />/� f. .i! �t,' / f-l� _ <br />Owner <br />Tenant <br />�� 1� `- � <br />Electrical Contractor <br />State License Numbe; <br />Mail Address <br />Maii Address <br />Mail Address <br />City <br />Ciry <br />Ciry <br />Stata2lp <br />State/Zip <br />Stete2lp <br />Contract Price of Work <br />Proposed Use of Buiiding Conlact Person (Plan Review) <br />Description o? Work to Be Done: /V�i�ta � �'L � � ''� '�21 ? � •�v �'�� �— <br />/ �� i! Q ��1� �l //i.� � ,� � /P t'_ <br />� �� � <br />Phone <br />Phone <br />Nnone <br />NOTE: PLANS FOR ELEC' RICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STO,TE 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 UTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NO�J-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACC'ESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES JR 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 E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WlTHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUM11E TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTNORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 295200 WAC. <br />� ' <br />j�� <�- �, ��-�— �����f '�� <br />Signeturu Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � a3/0 -a�� <br />FEE <br />