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ELECThICAL PERMIT APF`ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETr, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />-� <br />��`iC���.. � ,� r� ri,;�e . E_�.,e,�tt �:��i �`� � <br />PROJECT ADDRESS <br />� : : _.._. l ���,..-.. �� lY; i., � ,l .�-1,. �.;s F�. l �. l-: <br />Owner <br />Mail Address <br />City <br />State2ip <br />��� —��13 <br />Phone <br />Tenant Mail Address City State2ip Phone <br />�f�:<�«.:- L�r<�-�',c t��>Il`ic'�1�. `� �.. '�u-�. i-,:�� �I�1%C 3�c'� `j09� <br />Electrical Conlractor Mail Address Cify Sfate2ip Phone <br />i � <br />�r''� i %`( l� � ��� <br />State License Number Coniract Price of Work <br />Proposed Use af Building <br />P <br />Description af Work to �e Dane: f�c' �� <br />a .i <br />Contacl Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUND` '4UST BE <br />APPFiOV[D 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 W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIREQ 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 R�CEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR A�ONG 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 HEAEBY CERTIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AP1D KNOW THE SAME TO BE TRUE AND CORFECL ALL <br />PROVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OFA PEflMIT DOES NOT PRESUM1fE TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />SrA7E OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHORIZED BY rHE <br />OWNER OF THIS PROPERTY TO PERFORM THE INORK FOR WHICH APPLICATION IS MADE .4ND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 7827 FCW AND 296.200 WAC. <br />� <br />i <br />:r i , / <br />i . :.� : <br />,. . /. .t ,.. <br />� " �---- FEE ��-Z' <br />/,(/��r �' -� �r: ,��lC�`� j��� �— <br />—��—, <br />Signature �ate � <br />DEBIT & CREDIT CAR�S ARE NO7 ACCEPTED �G4 p�p -/ 2� <br />