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ELECi RICAL PERMIT A� PLICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />l'D!d o't a t StAVE C,Je S`�" ���`�' �T� %�o20'y <br />PROJECT ADDRESS % <br />� � 3�C7 /Dy�`�LSF �verc�" U%fi' '�l'8�8� <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />Mail Address <br />�,a,��eo � _r97 �,e� <br />Slate License Number <br />.t/�FR <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Ciry <br />Ciry <br />State/Zip <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />iVOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SIiOW THE STATE <br />APPROVED PLANS 6EFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILI`fIES AND 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 WALLS <br />WITHIN ACCESSIBLE SPACES OR A�ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCI�ES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER GONTROL 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& F AND NOT LESS THAN 36 INCH[S ABOVE THE FLOOR. <br />! HEAEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPL/CATION AND I(NOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV/SIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF WOAK WILL BE CO�APLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME R7 Gll'E AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CON57RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEFTY TO PERFOAh1 THE WORK FOA WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTCAS L4W 78.27 RCW AND 296.200 WAG � <br />7�JC / f� � <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � o�1j�0 -Cr�(c( <br />FEE <br />