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ELECTRICAL PERMIT APF-LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Sr Sr cl/�Fyl <br />PROJECT ADDRESS <br />VJ�.CaRAH e/y'7l7/iGA/cr_- %fJ160R 20/0J/ 1i �vF/jtiT lglol YIs'l�'J; <br />Owner <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Electrical Contractor ,Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />/rJuP��ics r�ay�'R <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 4 Ciq JN/f 1'L/ 0%,"/h j G//IC.b/ /' 4"1) IS'NP Z I� <br />taA��1C 2° H1"elz'/lr,OTpa rD /- 0•'D (If' I„PP670/Gct` T= <br />SrpLF/hf 1�PT/�i 1h/ c.Rkl(ll 20AP 570/le /Iv)411Si/7,(1LL <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 BYTHIS 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 1N WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A ieIINIMUM <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 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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />U Cz <br />FEE <br />Signature <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED O qOb — 0 (p� <br />