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ELECT�ICAL PERMIT API-�ICAiION <br /><- `�C� 1_ � ���"� <br />PRO�JECT ADDRESS <br />�- � - <br />\ll•-\ iv-- y ,�� L <br />Owner <br />Tenant <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />S � ; �'J <br />2`-1 U � � 1,�� <br />Mail Address <br />Mail Address <br />5 � S ��.� <br />City <br />City <br />����1.0 � 1 <br />StatelLip <br />S�ate/Zip <br />jt1Lv � <br />Phone <br />Phone <br />�'�)�Li�'�A� ��iLV�\V����7 � <br />Elecirical COMractor Maii Address City State/Zip PhonP <br />State License Num6er <br />Proposed Use of Building <br />Description of Work to Be Done: T\�) )�```-"' ���"�_',C�1-�- <br />4� �� <br />'l.c���-c:� <br />Contract Price o� Work <br />Contact Person (Plan Review) <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: WIFiING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANUICAPPED 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 Ol'HER 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 />I HEREBY CE,4TIFY THAT I HAb'E READ AND EXAM/NED THIS APPLICATION AND KNOW THE SAf�IE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA4YS AND ORDINAPJCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEC/FIED H�REIN OR <br />fJOT, THE GRANTING OF A PERMIT DOES NOT PRESUM1I E TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PROVlSIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. T.4AT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORfvf THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS l.A4Y 78.27 RCW AND 296200 WAC. <br />-�( )�, �,,' <br />��- <br />Date <br />FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED '_� 3G � y-(�L/ / <br />