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ELEI,TRICAL PERMIT ��PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> „�O 3 O �o��e ��- /�-e � <br /> PHOJECT ADDRESS <br /> /�J,'!T� Be �7Tr <br /> Owner Mail Address City State/Zip Phone <br /> � (iYJ -P <br /> Tenant � Mail Address City State2ip Phone <br /> ,�/O �" S� r✓, �� 5 <br /> ElectriCal ConlraCfor Mail Address Ciry StatelLip Phono <br /> State License Num6er Contract Price of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description ol Workto Be one: / /� �'� U' W�C S�—@ �� � �N y'� Y' ��/�/���c <br /> ���a n �e � v !�7 �79S�e vyJ-.> +�7 in� f� H 4- <br /> NOTE: PLANS FOR ELECTRICAL WORK A7 EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J�BS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. W.4C 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL�S ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEQ 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�UIPMENI' WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIf3LE ROUTES OF TRAVEL SHALL BE MOUNT'ED 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 /> I HEFE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVEANlfJG THIS 7YPE OF WORK WILL BE COMPLETE� WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESLME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTIGN OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEHFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTQRS LAW 19.27 RCW AND 296.200 WAC. <br /> �� `� FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �('j 31 � -C��� <br />