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ELECThICAL PERMIT APP �ICATION <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> uqZ► S�lvr-�r LY 1�� • qcZo � <br /> PROJECT ADDRESS <br /> �/+vr rHD�25ic ,soti �IqZi 5;���� 1�-�i���� �=�c�r�=J`r wA 9 �10� <br /> Owner A7ail Address Ciry S�eta2ip Phone <br /> /�/��L' TNUA�iI�i✓SU�i t��S 7�� T�7� <br /> Tenant Mail Address City Stete/Zip Phone <br /> SYL� <br /> Electrical Contractor Meil Address City StetelZip Phone <br /> Slete License Number Contract Price of Work <br /> Ir dt A ' <br /> Propos Use of Building Contact Person (Plan Review) <br /> , <br /> Description of Work to Be Done: W� /�� ��� <br /> NOTE: PLANS FOR ELECTRICAI 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 W ILL BE REVIEW ED 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRP.VEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEAEBY CEflTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. qLL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPEC/FIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHOFITV TO VIOLATE OR CANCEL THE PROVISlONS OFANY OP 1ER <br /> ST,7TE OR LOCAL LAW AEGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTqUCT10N. THAT I AM AUTHORI2E0 BY THE <br /> OWNEfl OF 7NIS PFOPERTY TO PERFORI�f THE WOFK FOR WHICH APPLICAJfON IS MADE AND 1 COMPLY WITH THE STATE <br /> CON7RAC70RS LAW 1927 FCW AND 296.200 W.4C. � <br /> �G'U-f / ��G�L�+i.�-rt-� LJ'- l Z_ G � FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �� � r d((_�j �J <br /> 1 � <br />