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ELEt;TRICAL F�ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />5 �lC,' r�l k/f�.o �L��� ��,{� <br />('90JECT ADDRESS <br />STiu�,�a ,cn 7-21c,� Y1�Kl� Ql �'�. <br />OtvnO� Mail Address City <br />Tenant <br />.��+—�l <br />Mail Ac��lress <br />bUX <br />Camractor Mail Address <br />�o�i+er/'� /77�(� <br />State License Number <br />Proposed Use of Building <br />Descriplion of Work to Be Done: //1J //P /yG//� �° <br />City <br />Ciry <br />/� —►�-03 <br />[C�31Z�D�d <br />`j.f�1o3 <br />State2ip Phone <br />State2ip Phone <br />�zn� --02�6-�.s�,.Lv_vl <br />State/Zip <br />� OU(' <br />Contract Price of Work <br />Contact Person (Plan Review) <br />� <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 J08S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-d6-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED 8Y THIS OFFICE. <br />PJOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OP AC CAB�E. <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 OThIER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 1NITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F ANC NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFEBY CERTIFY 7HAT I HAVE FEAD AND EXdhfINED iHIS APPLlCATION AND KNOIY THE SAM11E TO BE TFUE AND COFFECL ALL <br />PFOVISIONE OF 4161'S AND OFOINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETNEA SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM1IIT DOES NOT PFESUAfE TO GIVE AUTHORITV TO VIOLr1TE OACANCEL THE PFOVISlONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUL.I rING CONSTFUCTION OF THE PEFFORMANCE OF CONSTRUCTION. THAT 1 Akl AUTHORIZED BY THE <br />OWNER OF THIS PROPEATY TO PERFOFh1 THE INORK FOR WHICH APPLICATION IS MADE ' JD 1 COh'PCY INITH rHE STATE <br />CON7RACTORS LAW id.27 FCW AND 290200 LNAC. <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � I� ` C SL� <br />FEE <br />