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ELE�, fRICAL PERMIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8957 <br />/ ��l�i �� - 5 Z S'� 5��. <br />� <br />PROJEC AT DDRESS <br />. <br />�f. �. .. �� �. ,� I/v5 � �!7 • L � k C � '� �: �� �� Y <br />Owner <br />Mail Adtlress <br />City <br />-� i 7 <br />�j�s �35<1- <br />�,l��e %g Izs— S�sZ <br />State2ip <br />Phone <br />Tenant Mail Address City State2ip Phone <br />i <br />(��I � ��y,II�Y �S 4����'C� <br />Electrical COntractor ldail Address Gty State/Zip Phone <br />State Lice�Number Conlract Pri�e of Work <br />� `l ,� �L-- X <br />Proposed Use of Bui ing Contact Person (Plan Review) <br />Description of Work to Be Done: <br />--. �" •r l r( l I <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 W:LL BE ISSUED. WAC 296-46-140. AI_L OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES ?LANS WILL BE REVIEW ED 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 COMMUNICAI'!ONS 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 />ENVIRONti1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITIiIN <br />ACCESSIBLE SPACES OR ALONG ACCES.riIBLE ROIITES OF TRAVEL SHt\LL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 35 INCHES ABOVE THE FLOOR. <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING TN!S TYPE OF WORK WILL BE COMPLETED WHETHER SPEGFIED NEREIN OR <br />NOT, THE GFANTIh'G OF A PERhi�T DOES NOr PFESUM14E TG GIVE AUTHOFITI' TO VIOLITE OF CANCEL TNE PFOVISIONS OF ANY OTHEF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OF rHE PERFORMANCE OF CONSTHUCTION. TNAT 1 AM AUTHOAIZED BY THE <br />OWNER OF THIS PFOPERTv TO PERFOR61 TNE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 ACW ANO 296.20C W.4C. � <br />SignaNre <br />(�� <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED _; -% ' j �, � <br />FEE <br />