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ELEC � RICAL PERMIT AE �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�f�-lu5 ���1-�� Q.�,F.. <br />PROJECT ADDRESS <br />��.� � �-•�o�a5�, /�C �C�. � :/� %��i3`h ���G.�� L.'� qQI�Q;� 4cy=�"�j 1'_�� 1� <br />Owner <br />Mail Atldress <br />City <br />State2ip <br />Phone <br />.�jy� "nn'f l�� 'c� � � i-•n � S� S � O �(yc �o3Y'� �i �c� u �i% t��n �'R� �d � 4��5 �[' // 2? <br />Tenant <br />,i <br />Mail Address <br />ContrBCtor Mail AdCress <br />7l ^S' /� � t <br />State License Number <br />i'� n C �� �Y]V' �7� <br />Proposed Use of Buil ing <br />City <br />City <br />Stete2lp <br />StatelZip <br />� -�I'lo„tfr7 <br />Contract Price of Work <br />'TiPuC�nl �i1 � <br />Contact Person (Plan Review) <br />Phone <br />F��*T,1 <br />1 �i 1 <br />DescriptionofWorktoBeDone: w���1,,,�a ���- y V�-j-�C-T� �_� ��rtAroC(v..�' �y►�.�y' <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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS 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 W.ALLS <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 CONTROL RECEPTACLES AND OTHER OPERABLE EdUIPMENT W17HIN <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 />I HEREBY CEFTIFY THAT � HAVE REAO AND EXAMINED THIS APPLICA � ION AND KNOW THE SAME TO 6E TRUE AND COFRECT. ALL <br />PROVISIONS OF LA WS AND OFDINANCES GOVEFNING THIS TYPE OF IYORK WILL BE COMPLETED WNETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME 7'O GIVE AUTHnRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WNICN APPLICATION IS MADE AND 1 COMPLY W/TH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />Signature <br />`3- 30-�.0 <br />Date <br />,3 FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �0�� � I Ia-- <br />