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ELECTRICAL PERMIT APPLICATION <br />�".ITY OF EVERETT PERMIT SERVICES <br />3200 CEGAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />._L! �Z �l"�i'/iC �/-� vC�-'�. � I/G-l-2C/�i 1�tJi-1 <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Address <br />t.i��l qddress <br />City <br />City <br />State2ip <br />State2ip <br />Phone <br />Phone <br />Electrical Contractor Mail Address City Stete2ip Phone <br />State License Number <br />Pwposed Use of Building <br />Description ol Work to Be Done: <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS F�R ELECTRICAL WORK AT EDUCATIONAL, FACIIITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-14U. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE HOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR, WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHEa CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HERE6Y CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORFECL ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING 7HIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED NERE/N OR <br />NGr, THE GRANTING OF A PERMl7 DOES N07 PRESUME TO GIVE AUTHOflITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OF LOCAL LAIY REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNfF OF rHIS PROPERTY 70 PERFORM THE WOFK FOR WHICH APPLICAT.�ON IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTORS L7W 1827 RCW AND 296.200 WAC. <br />� SignaWre <br />DEBIT & CREDIT CARDS ARE NOT ACC 'TED <br />�� <br />Date <br />Eoyo�{-lo� � <br />FEE � <br />