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r <br />ELE�"i RICAL PERMIT ANPLICATION <br />CITY OF EVERETT PERMIT SERVICES y_a� b3 <br />3200 CEDAR STREET, EVERETT, lNA 98201 <br />425-257-8810 - FAX 425-257-8857 (�-'03v,3—O�{ � <br />�c 2_ c� / 21 S� t� Ur� l/t/� S v�- <br />PROJECT ADDRESS <br />�_vi<��i <br />Owner / <br />/ . /n <br />Tenant <br />SE �- � <br />� <br />Eleclrical Conlractor <br />State L�cense NumLer <br />Proposed Use of Building <br />!Aail Adtlress <br />Mail Address <br />Mail Atldress <br />Descriplion of Work to Be Done: / <br />/G^/ �J��c�JF,�— <br />�, �� ti•� <br />� �� <br />� C . v'; .-i.r: <br />;�i <br />Ciry <br />City <br />���Y <br />,Ei%�r� <br />State2ip � <br />State2ip <br />State2ip <br />3ss� <br />y- �/zs � s: <br />Z�L� Phone <br />Phene <br />Phone <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />� �c-�i � �cHES � C�C. ���1'��:c� <br />�-� � �' C� �..�-c % � �OiS� �� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOE3S MUST SHO'JJ THE STATE <br />APPROVED PLANS BEFORE CITY OF �VERETT PERIv11T l'VILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL IiEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS f�EOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL A�JD CONMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTFS OF TRAVEL SHA�L 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES QF TAAVEL SHALL BE MOUNTED W ITHIN 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 HEREBY CERTlFY THAT 1 HAVE READ AND E.XAAJINED THIS APPLlCATION AND KNOW THE SAA1E TO BE IRUE AND COFRECL ALL <br />PFOVISIONS OF WWS AND ORDIh'ANCES GOVEFNING 7HIS TYPE OF WOFK .VILL BE COMPLETED LVHETHER SPECIFIED HEFEfN OR <br />NOT, THE GFANTING OF A PERM1IIT DOES NOT PflcSUf�1E TO GIVE AUTHOFITY TO VIOLATE OP. CANCEL THE PFOVISIONS OF ANY OTHER <br />57.1TE OR LOCAL LiW REGUL/1Ti,VG GONSTRUCTICN OA 7HE PEnFORh1ANCE OF CONSTFUC710N. THAT I AP.1 AUTHOFIZED 8Y THE <br />OINNEA OF THIS PFOPEFTY TO PEAFOFM THE 4NORK FOR WHICN nPFLICATION IS MADE AND 1 COPAFLY tVITH THE SiATE <br />CONTRAC70FS G1 W 18, 27 RCW AND 296.200 WAC. <br />Si9nature <br />DEBIT & CREDIT CARDS ARE NQT ACCEPTED <br />S /O 3 <br />oa�z <br />;� <br />�, �. j� <br />'' C <br />—� �, <br />FEE <br />