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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E�ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 � <br /> � 1419 r�t}� A�'� 5� <br /> PROJE�:T ADDRESS <br /> � <br /> D,.����,�� ��1�:n��,c�T('.v ��� ��� .S�,�l����.�5 w�4 �t��.qu �C� ,�3y -��, <br /> OwCef Mail Address City State.'Zip Phone <br /> S� ��-�' ��lke ��azc� 1141`� �`�� (aVE Euef� w(�- 36o-;3c�-sos�? <br /> Tenant Mail Address City q ScatelZip Phone <br /> 1�4��eY-e�./�Qv��- /'YIVkf 1 1�y1nA .�CC��� C'":./ \ \ .SL.,�"t i1'Ic.x.;-�.l \�-�.�vu;✓� l'�� �1�.U-C/2�1 -13.25' <br /> Electncal Conira r Mail P.dd�ss � Cily State/Zip Phone <br /> �VI e,/_� SLC='��,L �{' �Gb"= <br /> Slate icense Number Coniract Price of Work <br /> � s <br /> M� Il��� i��.w.T �,�,ia.�.�,, � .I�. s� �� �,.��I �,�,�� <br /> Proposed Use of Building Contact Person (Plan Review'� <br /> Descrip�ion of Work lo Be Done: I n S��-� I �� �� � <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: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RAC[WAYS, MC OR AC CABLE. <br /> HANDICA�PED ACCESSIBILITY: ELECTf21CAL 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 CONTROI_ RECEPTACLES AND OTHER 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 R F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERT/FY TH�T I HAVE READ AND EXAMINED iHIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEP,NING THIS TYPE JF WORK WILL BE COMPLETED WHETHER SPECIFIEO HC-REIN OR NOT. <br /> THE GRANT/NG OF A PERMIT OOES NOT PRESUME TO GIVE A'JTHORITY TO VIOLATE UR CANCEL THE PROVISIONS OF ANY OTHER STA TE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM TNE V✓ORK FOR WHICH APPUCATION IS MADE AND 1 COMPL}'WITH THE STATE CONTRACTORS LAW iB27 <br /> RCW AND 296.200 WAC. <br /> A <br /> �?�-Q� ly` I�,/ �� U3 FEE <br /> Signature Dale <br /> ELECAP�REV812001) �D��CJ �YS <br /> n n ; 7 _ <br /> �� � � <br /> ;� <r� _�,\ �� -.-�. _. <br /> J <br />