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ELECT� �ICAL PERMIT APi LICATION <br />CITY QF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1�7�3c,� (11�2iN� '�I�W �f? <br />PROJECT ADORESS <br />� � �. � • � � I �'� � : � i i <br />Uwner <br />Tenanl <br />A7uil Address <br />City <br />Stata2ip <br />Phona <br />�� � � 1 �tC � �. .. —• i � �� <br />Mail Address <br />Citv <br />State2ip <br />Phone <br />�R—RSS r nl ��i��C, R o. t-�x S y Ci �.1�'2�T�- l�� R 9�d2o co 33S Z�'� / <br />Electrical Contractor Meil Address City Stafe2ip Phone <br />KR1�SS�i.�32v � fl�� <br />�ate License Num6er Contract Price of Work <br />Me�-��. �RR a��oP <br />Proposed Use of Building <br />Conlact Person (Plan Review) <br />�- . . - �. � � i - � . �� L L . = i <br />.e. . � .�.. �� G ► � :.3G��_t <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 PLAN3 WILL BE REVIEV'JED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND (:OMMUNICATIONS 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 51-2Q SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E R F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNCW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PAESUME TO GIVE AUTHORITY TO VIOLITE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORhfANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THlS PROPERTY TO PERFOAM THE WORK FOR WHICH APPLICATlON IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW iB27 RCW AND 296.2G0 WAC. � <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />FEE <br />,� ��3 s c/ <br />