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EL �TRICAL PERMIT �HPPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE"�, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��Saz )y�� <br /> PROJECT ADDRESS <br /> M �'15C^'� ��"Gl'L�L—� <br /> Owner Mail Atldress City State2ip Phone <br /> Tenanl Mail Address <br /> Ciry State2ip Phonc <br /> .�Q L'RO Vl L—Z�G � N�-- <br /> Eleclr cal Contraclor Mail Adtlress City State2ip Phone <br /> State License Number Contract Pnce of Work <br /> i��U) S F(� <br /> Proposed Use of Owlding Contacl Person (Plan Review) <br /> Description of Work to Be Done: J �'�c ��I,l� ��� (r�,i� �� �U�(,L— <br /> NOTE: PLANS FOR ELECTRICAL WURK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVCD BY THE STATE OF WASHINGTCN. APPLICANTS NJITH SUCH JOBS MUST SHOW THE STATE <br /> APPROV�D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-40•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSI6LE 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 /> ACCESSIf3LE SP,10ES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES t�F WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEHY CERT/FY THAT I HAVE READ AND EXAM1;INED 7H/S APPLICAT/ON AND KNOW THE SAM1fE TO BE TFUE AND CORRECL ALL <br /> PFOV/SIONS OF L4 WS AND OFOIN.7NCES GOVERNING THIS T)'PE OF WOFK INILL BE COhIPCETED INHETHEF SPECIFIED HEREIN OR <br /> NOT, THE GRANTIN6 OF A PERM11/T DOES NOT PRESU,SfE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> O VNER OF�HIS PFOPfRTY�TO PEFFORh�UTHE WOFKrFOR WHI�CHh1 APPLIC TION SS�fADE ANDH�COMPLy WI�N/THE STATE <br /> CONTR4CTORS LAW iB.D RCW AND 296.200 WAC. <br /> �� <br /> n <br /> -- ��I%� ��� S �`�i �j FEE <br /> Signature Da� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED E p,3cj S._�r8— <br />