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ELECI'r�ICAL PERMIT APrLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25?-8857 <br />� �/�?/ �V�E� G�i4� <br />� PROJECT ADDRESS <br />(� � i: �l' ����%`% <br />Owner <br />Tenanl <br />Eleclrical Contractor <br />State License Number <br />Proposed Use o� Building <br />Dcscription ol Wark lo Bc Done. <br />Mail Adtlress <br />Maii Address <br />Mail Address <br />Ciry <br />Ciiy <br />City <br />State2ip <br />State/Zip <br />State2ip <br />1- a I -O C( <br />�oUn 1-06 <br />Contract Price ol Work <br />Contact Person (Plan Revie�v) <br />Phono <br />Pl,one <br />phnnn <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APFLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PE(iMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL F.4CILITIES 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 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 />ENVIRONA4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE rOUIPMENT 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 A80VE THE FLOOR. <br />1 HEFEBI' CEFTIFY THAT I HAVE READ AND EYAh11NED THIS APPLICATION AND KNOW THE SAME TO 6E TFUE AND CORFECL ALL <br />PFOVISlONS CF LAWS AND OFDINANCES GOVEFNING Th75 TYPE OF WOFK tVILL 6E COM1IPLE7ED WHETHEA SPECIFIED HEREIN OR <br />NOT, THE GFANTING OF A PERh11T DOES NOT PFESUh1E 70 GIVE AUTHORITY TO VIOL:77E OF CANCEL THE PROVISIONS OF ANY OTHEF <br />STATE OA LOCAL LAW EGULATING CONS7FUCTION OF THE PEFFORMANCE OF CONSTFUC710N. THAT 1 AM AU7HOFIZED BY THE <br />OWNER OF THIS P PERTY TO PEFFOFM1i THE Ih�OFK FOR WHICN AFPLICATION IS h1ADE AND I COMPLY WITH THE ST'ATE <br />CONiFACTOFSI.A 78.�7RCbl'AND29jidOD�NAC. <br />_�/_Q FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �QyQ1 a(o�{ <br />