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ELECT ICAL Pi:RMIT API��ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� _s"— �/;�"`' .�'L 5'� <br /> PROJECT ADDRESS ���j— <br /> %%,,,,,�..� �c,.-,s���. t�� �n�; `,�7G ���rst 1u.4 9 10 E 3`r�G—�J�1 Z <br /> Owner Mail Address City Stete(Zip Phone <br /> Tenant Mail Address City StatelLip phone <br /> P�o� ssioi% � ��r����.j.,� �01� .�y9 /i/.•.y� ��A 9.��1 ' 'Cny ;J= G.�iL <br /> Electrical Contractor Mail Address Ciry� StatalZip Phone <br /> f�vLL /����.�G' i��.L/3. <br /> State License Number Coniract Price of Work <br /> / r'rrr_? SC/vic c� <br /> Pr'oposed Use of Building Contact Person (Plan Review) <br /> .i� <br /> Description of Work to Be Done: �����,� �= ��/.��c p <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 FERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DWELLINGS IS REaIiIRED 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 E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCE5SIBLE ROUTES OF TRAVEL &HALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 3G INCI�ES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GlVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> S'fATE OR L'JCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADG AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. . <br /> C��a�/.`� ���"z<'-�� �,j�t: �,� FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �� /) � <br /> � <br />