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ELECTt�ICAL PERMIT API-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8357 <br />��� ( Z�l 21 s� �i�-< 4> L��-F � 5a� ts! <br />PROJECT ADDRESS <br />IJl1 Gi}t .�.�1-( <S!' rc.,��' <br />Owner <br />Tenant <br />Electrical Contracror <br />Fdail Address <br />MailAddress <br />� �. . �% <br />61ai1 Address <br />1��-l20L`<T 9 �/i�/�-- <br />Slate License Number <br />��5� %� <br />Proposad Use of Building <br />Description of U!'ork to Be Done: <br />Ciry <br />City <br />Ci�y <br />Sta,e/Zip <br />State2ip <br />Phone <br />Phone <br />Stale/Zip � Phone <br />�SL�, <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WII�H SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. N/AC 296-46-140. ALL Ol'HER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 RECEPTACLES AND OTHER OPERABLE E�UIPMFNT W!THIN <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 INCHES ABOVE THE FLOOR. <br />1 HcREPY CERTIFY THA7 1 HAVE READ AND EYAM1VNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND OFDINA�'CES GOVERN;NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br />N07, 7HE GRANTING OF A PER�LIIT DOES NOT PFESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHE.9 <br />STATE OR LOCAL LA4Y REGULATING CONSTRUCT70N OR THE PERFOAM11ANCE OF CONSTRUC710N. THAT 1 AM AUTHORlZED HY THE <br />OWNER OF THIS PROPERTY TO PEFFORh1 THE WORK FOR INHICH APPLICATION IS MADE AND I COMPLY WITH THE STAT� <br />CONTRqCJ.pRS L1 W 18.27 RCW AND 296.200 WAC. <br />Signawre <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�/� FEE <br />� <br />� �.���, �=� <br />