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ELEC i'RICAL PERMIT ANPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i i3� 'noc+Cr- +-El.l.t� y(//�. S`n;. �� ii Y�c' ( <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phone <br /> t vG�e� �`.��.�� <br /> Tenant Mail Address City State/Zip Phone <br /> P�4'��sfi( �fitt;-r- ��°(��' �'•���:.�.�e s R!� k��r �2b si�l�u.�c�A a„/ ���`3z (�1��;,s-�/_cz�7 <br /> Electrical ContraClor Mail Address City , Stale2ip Phone <br /> Q�1}, yF('o'`j I ,V� _ TI /�� OQC� . �O <br /> State License Number Contract rice of Work <br /> �rCl�t'�t— CF-r�c' FS �'E� 1Zt",v gE1Zl�'--�C=�( <br /> Proposed Use ol Building Coptact PQrson (Plan Review) <br /> /�t �J)Z!o'- 777(� <br /> Description of Work to Be Done: -r,vSTv(L(_ i�"i- C -i- �'-�i f- ('.��C E-i �!� <br /> ✓d'L G c •-d' �T��� �'�E--�'!S� <br /> g��C' Ll ,/ <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 EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL 9E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRCD 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 PE 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 TRAVEL SHALL BE MOUNTED WITHIN 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 HEREHY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TFUE AND CORFECL ALL <br /> PROVISIONS OF LAWS AND ORDINAiVCES GOVERNING 7NIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NO7', THE GkANTING OF A PERMIT DOES NOT PFESUME TO GIVE AU7HOAITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL L7W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THA7 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS FROPEATY 70 PERFORM1I THE WORK FOR WHICH APPLICAT/ON IS MADE AND 1 COA1PLY WITH THE STATE <br />� CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> � FEE <br /> � ' )cx�;xv��rh<<` 3- 17- °' 3 <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � G3�3-0g-3 <br />