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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � _ �d _�o <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8910 - FAX 425•257-8857 C� b0 a-p50 <br /> ��f� 1 G}' � � � �t /-�VC' Sc <br /> PROJECT ADDRESS <br /> GoA-ST,�L S C�t-V-o E P. � • ('S�v �3�13 ��<1 �w-'1 , �,.�,4.. <br /> Owner Mail Address Cily SfatwZip Phone <br /> � 1�C�l�� e�'U�C� �i�� J��I��-�'S S _.... <br /> Tenant hlatl AdCress Ciry Stat�2ip Phone <br /> T� C� c c-"'�-�� 1��7 LI �r' ��A�-- . S . S_=�-rr'��� I,J�1- �l �( �( <br /> Electrical Conlractor Mail Adtlress City Slate2ip Phone <br /> 2�223�1Lz— <br /> -1'� Cz-�P�i� :r-� �Oti N- �_ � , — <br /> State License Number Contrc : Price ol Work <br /> Stl•q,�-�� (�jw�._.) <br /> Proposed Use ol�wlding Conlact Person (Plan Reviow) <br /> Oescription ol Work lo Oc Done: � (J �'C�L(_ Cr`S�- �}/�(�� S��5� <br /> NOTE: PI.ANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 9E <br /> APPROV[D BY TH[ STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOVV 7HE STATE <br /> APPROVED PLANS BEFORE CITY Of EVERETT PERMIT WILL BE ISSUEQ. WAC 296-46-1;J. ALL OTHER <br /> EDUCATIONAL FAC:_ITIES AND ALL HEALTF' CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DNiELLINGS IS RECIUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> Hi1NDICAPPED ACCESSIBILITY: ELECTRICAL AND COh1A4UNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> VJITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 75 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3706(c)2. <br /> �NVIRONh1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSI�LE SPACES OR HIANG ACCESSI�LE ROUTES OF TPAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEG. 3106(b)�i [ & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFE9Y CEFTIFY THAT I HAVE RE4D AA'D EXAdIIA'ED 7H15 APPL!CA71CN A,VD KA'OfN TNE SAIdE TO BE TRUE AND CORRECT ALL <br /> PROVfSICNS LF LA WS AND ORDINAA'CES GOVERA'WG TNIS TYPE OF bVORK Ih�ICL EE CC�:IPCETED th'HETHcfl SPECIFlEO NEFEIN OF <br /> NOT, THE GR.4Ni1NG OF A P[FMlT DOES NOT PFtSUh;E TO GIVE AUTHORITI'TO V/OLA l'E OR CANCEL THE PROVISlONS O�nNY OTHER <br /> S7ATE OH LOCAL U1V/pEGULA7ING CONSTqUCTION pn THE PERFOF6IANCE OF CONSTFUCTIDN. 7'HAT'I AM19 AUiHORIZED BY THt <br /> OV1'NER OF TNIS PROPEFTY TO PEFFOrLi Trlt th'OFK FCr LNHICH APPLICnTICN IS M-0DE AN�J I COMPLY VVI7H THE ST'ATc <br /> CONTAACTORSLAIV 1@DFCIVAND'I56.?OOl4�AC. <br /> ���� _�, �----> '� � `� _ �� FEE <br /> -� -- <br /> (Sgnatura � � Data <br /> DEBIT&CREDIT CA�RO ARE N0�ACCEPTED [ I U D L-� U jO <br />