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�LECTkICAL PERMIT APF�.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE�AR STREET, EVERETT, WA 98201 <br />425•257-8810 - FAX 425-257-8857 <br />�,2� 57j `� S�✓ i� lr� 2�/T <br />PROJECT ADDRESS <br />.4 L �2�c�c�e ���s is��`PC s��� �r�-�r���s �� ���� (�f2��.�,Z y�q <br />Owner <br />Mail Address <br />Tenant Mail Address <br />,_ �Ld li�� �\ <br />Electrical Contrector <br />Slate License Number <br />J�rs/oi� �vc�� <br />Proposed Use oi Building <br />Mail Address <br />City <br />Ciry <br />City <br />State/Zip <br />State2ip <br />State2ip <br />Coniract Price of Work <br />Contact Person (Plan Review) <br />Description o( Work to Be Done: /( f=TC/� G= ;�.= l-�(-/Vv/= l� Z'�CC 77Z/C- C��'�'(��S f/�O� <br />/7L D /-��� Si� /��+Nl--= G'?� /�/�'Cv l31�EFI-�U� P/;.�YEL r l�uni NE�J <br />,/� G///= x %C� _J'c/N� T�G�N /�oxi= s, .�r NL�¢-c( ivG— frdS'r ru/' 7Y�L <br />� �Yo �3 /� 7`c.ii�r'' �� i��'�-r �,�G t <br />Phone <br />Phone <br />Phone <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: WIFING 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 UF TRAVEL SHALL BE MOUNTE� A MINIMUM <br />OF 15 INCfiES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONti1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 />1 HEREBY CEF � irY THAT I HAVE READ AND EXAMINED LiIS APPL/CAT/ON AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br />PP.OVlSIONS GF LAWS AND ORDIN.4NCES GOVERNIfJG THIS TYPE OF WORK 4VILL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br />NOT, THE GFAft'TING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOR/TY ?O VIOLATc OR CANCEL THE PROVIS/ONS OFANY OTHE{i <br />STATE OF LOCAL LAIN REGULATING CONSTRUCTION OR THE PERFORMANCS OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPEFTY TO PERFORM THE IYORK FOR WHICN APPLICATION /S MADE AND I COMPLY WITH THE STATE <br />CONTRAC'(ORS LAW 18.27 RCW AND 296.200 WAC. - <br />SigneNre <br />D'cE31T & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />FEE <br />� �r�� �ll <br />