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ELECT�iICAL PERMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR oTREET, EVERETi, WA 98201 <br /> 425-25?-82310 - FAX 425-257-8857 <br /> 1 Z 0 y /:tf� iC,C✓Z A V c- _ <br /> PROJECT ADDRESS �` ,` / ,�� n ' <j�"�°i�,/ 7 <br /> � _�� �� l�-� �Jf-�CJ �'V �'•� V'J /iuL.��+-� r' V w� �'/�.7 ��� ( .�.01�6 <br /> � Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State2ip Phone <br /> /�(� %� 1 N i V �=�-f'L %/Zl L <br /> EleCtriCal Cor,lraClor � Mail Address City State2ip Phone <br /> /L/G (J l/J �= C,� � .� �.I�.1 <br /> State license Num6er Contract Price of Work <br /> Proposed Use of Buildino Contact Person (Plan Reviev.�) <br /> DescriplionolWorkloBeDone: LG��,�LC ti'L«� n� ���� . �'et�� �'��/��/���� <br /> ��i iN `�a o i�i��v� c� H �s',�.Cv�c;— �' sz e r�r�?�- <br /> /— z o � /�i�r N ��i c � i=i�-v�-Zl�- iD .Cxs�s iih� � <br /> /-IC> u� �. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTO':J. 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�ACI�ITIES AND ALL HEALTH CARE FACILITIES PLANS WILL Bt REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIN[D TO BE IN RACEWAYS, MC OR AC CABLE. <br /> NANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS 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 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CCINTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 8 F AND NOT LESS TH.AN 36 INCHES ABOVE THE FLOOR. <br /> I NEFEBY CEFTIFY 7HAT! HAVE READ AfID EXA�dINED iHIS APPUCATIO,V 4ND KNOW THE SAME TO BE TRUE ANO COFRECL ALL <br /> PFOVISICNS OF L7WS AND O.RDINANCES GUVEFNING THIS TYFE OF WOFK LVILL BE COMPLETED WHE'fHER SPEGFIED HEAElN OR <br /> "'7T. THE GFANTING OF A PEFhi1T DOES AlOT PFESUb1E TO GIVE AUTHCFITY TO VIOLATE OR CANCEL 7HE PFOVISIONS OF ANY OTHEF <br /> S7ATE OF LOCAL l.A4Y REGUL,dTING CONSTFUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. iHAT I AM AUTHCFIZED BY THE <br /> OC✓NEfi OF rHIS PRGFERTY ?U PEFFOAM THE IVORlf FCR IVHICH APPLICATION IS h1ADE AND 1 COM11FLY lVli!' �HE STATE <br /> CCNTFACTORS LAW 182i FCW AND 296°00 WAC. <br /> �;� ;�. �% i� -�=� � - � - � y FEE �'�s °� � <br /> ,- . ,- —T-- — <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �G�� ` w� <br />