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ELECT'rtICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� _ ,� y� ��� d� <br />�� l. ;, �: ,;� ,+.,� �,�t. � ,��r- � ; , <br />PRO ECT ADDRESS x � "� � <br />�,/% �' �/ v %n;'C r %/b � 3� if'� �i�i!;! .S"� <br />Tenant <br />Electrical Contractor <br />Mail Addiess <br />Mail Address <br />Mail Address <br />State License Number � <br />��!'r;JJ <br />Proposed se of Building <br />I � �� <br />Descriptiun of Work to Be �one: <br />Ciry <br />Ciry <br />City <br />/.(�'1( y8�2D1 � 59� sao,s- <br />Slate2ip Phone <br />State2ip Phone <br />State2lp Phone <br />Contract Price ot Work <br />Contect Person (Plan Review) <br />NOTE: PIANS 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 AiJD ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON W4LLS <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 OTHER OPERABLE E�UIPMENT 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 �NCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OF <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO G1VE AUTHORITY TO VIOLATE OR CP NCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNcR OF THIS PROPEATY TO PEAFORM THE WORK FOR WHICN APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACI CRS LAW 7827 FCW AND 296.200 WAC. � <br />j � ' �/ � <br />Signature( <br />� '� � <br />DEBIT & CREDIT CAFiDS ARE NOT ACCEPTED <br />�nl — �� �' <br />Date <br />��`LCG-I 1 Z <br />FEE <br />