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ELECTi�ICAL PERMIT AP��ICATlON <br />CiTY OF EVERETT PERMIT SERVICES <br />3''00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�q�� a? � ��e. ���-�- <br />PROJECT ADDRESS <br />Mail Address <br />Ciry <br />T2nant Mail Address City <br />.���,..:�-.�.r ���,�-« 55�1 ���D,.•�.� <br />'=lectrical Contractor Mail Address City <br />.!� r 7 w� <br />State License Number <br />Proposed Use of Building <br />�- <br />Descriotion ot W�rk to Be Done: <br />� <br />_ ��s GJa �Zra73 33y-o573 <br />State2ip Phona <br />State/Zip Phone <br />�1,.,��. C�a g8d-qd 33U'9aQ(� <br />Slate/Zip <br />Contract Price of Work <br />Conlac[ Person (Plan Review) <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS Wli'rl SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 6F ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: 'dVIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANf)ICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIWIUM <br />OF'15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE tQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACFI <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NUT LESS THAN 36 INCHES A80VE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAYE READ AND EXAM/NED TH/S APPLICATION AND KNOIN THE SAME TO BE TRUE AND CORRECL A!L <br />PROVISIONS OF LAWS AND ORDINANCES 60VERN/NG THIS TYPE OF WORK WILL BE COMPLeTED WHETHER SPECIFIED HERF.'IN C'R <br />NOT, THE 3RANTING OF A PERMIT DOF.S NOT FqESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE�9 <br />STATE 04 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM �UTHOAIZED BY 7HE' <br />OV✓NER OF THIS PH:JPERTY TO P[AFORM ThE WORK FOk WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC7CRS LAt^� 1827 RCW AND 296.200 WAC. � <br />Siynature <br />z <br />�ate <br />� FEE <br />�— <br />DEBIT & CREDIT CARDS ARE NOT.4CCEPTED �D�Pj3 —IG:� <br />