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ELECT`� �ICAL PERMIT APF �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> r/Orr � Jr so. <br /> v <br /> / �� � (�--IOr^. P_r /� irx 5 t /1 L/ L�u/ � <br /> PROJECT ADDRESS� � , `� <br /> � t��ii? l= »�c� ,prlycs <br /> Ov:n�r MailAddress City State2ip Phone <br /> Tenant Meil�ddress City State2ip Phone <br /> OY��Crh ��( hf L_ �tr �/�C <br /> Eleclrical Conlraclor Mail Address City Stale2ip P�one <br /> Slate License Num6er CoNract Pnce ot Work <br /> Proposed Use o�Buildin� Contacl Person (Plan Review) <br /> Descriplion of Work to Be Dane: � c• I'I'J l� pb L✓G /" f�u/� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE O� WASHINGTON. h?PLICANTS 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: W IRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OP,AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL 4ND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> ',NITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE N10UNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER :,�NTROL RECEPTACLES P.ND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WP.0 51-20 SEC. 3106�b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY THAT I NAVE READ AND EXAh11NE0 THIS APPLICATlON AND KAbW 7HE SAh4E TO 6E TRUE AND COFFECL ALL <br /> PFOVISIONS OF LAIM1'S AND ORDINANCES GOVEFNING iHIS r1'PE OF IYCFY, INILL 6E C061PLETED bVHETHEF SPEGFIED HEREIN OF <br /> ;JOT, THE GRANTING OF A PEFMIT DCES NOT FFESUME TO GlVE AU7HORITY TO VIpLATE OR CANCEL THE PFOVISIONS OF ANY OTHEfl <br /> STATE OF LOCAL I.AW AEGULATING CONSTFUCTION OR THE PEnFOFM11ANCE OF CONS'�FUCTION. THFT 1 AA7 4UTHOAIZED BY iHE <br /> 01YiVEn' OF THIS PFCPEFTY TO PERFCFhI THE INOFK FOR IYHICH iPFUCATION IS IdACE AND 1 COM19PLY lM1'ITH THt 57ATE <br /> CCNTFACtORS LAIN 7H.27 RCW�ND 29620J WAC. <br /> i��� �y:lr��� �/.�7J/ O / FEE <br /> Signa� D �� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �Gy OS-GQ Z <br />