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� ELEC�'RICAL PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �/'a 6 E�sf f��.r�ne 1/,�e �,v (��^ . <br /> PROJECT ADDRESS " <br /> �L"P� � /��i�vn ��i`vlG �s�� S�ore /�t/:Z ��i�tl^l� 1�� p�?d� <br /> Owner Mail Address City StatelZip Phone <br /> !/Jt��/� i!�y <br /> Tenant Meil Address Ciry Stete2ip Phone <br /> �/.�1�e-V' <br /> EleciriCal Coniractor Mail Address City State/Zip Phone <br /> State License Number Coniract Price of Work <br /> ��lil.�G. ( <br /> ProNosed Use of Building Contact Person (Pian Review) <br /> Description of Work to Be Done: ` �G�S GY�Cln IJQh�C � ��e a// uC`�Q�Y__ — <br /> � L�'�1� j— / . t' /-�Ji�NP rY �2S' �t�.SC'Q v�S/ �o r <br /> f� � G. z <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 296-46-740. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPEU ACCESSIBILITY: ELECTRICAL PND 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 ACCESSIBLE ROUTES OF TAAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAM1fINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORD/NANCES GOVERNING TH/S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRl1CTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORf( FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 182i RCW Ah'D 296.200 WAC. <br /> � �2 � FEE <br /> i <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> C��09� <br />