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ELE�TRICAL PERMIT HPPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�s'�v 1 S ��` �� ,�.✓v `1 � <br />PROJECT ADDRESS <br />G1���t`Qlb G, i�Pe�cllVi �5'E��'4��t7Uj�� 7�G)C'V'�i�' �c� �j�-?>j3'3i3'� <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />Eleclrical Contraclor Mail Address <br />State License Number <br />Cily <br />City <br />City <br />StatelZip <br />State2ip <br />Slate2ip <br />Coniract Frice of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Descriplion of Work to Be Done: ~,���'t' ���'�t^� G� �' �e��� lG � ��K j� S� <br />Phono <br />Plione <br />Phone <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 286-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAFE 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 />`NITHIN 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 EGUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SFC. 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 APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WOR/C WiLL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OFA PERMIT DOES NOT PRESUME i O GIVE AUTNOFITV TO VIOLATE OR CANCEL THE PROVISIONS OFANYOTHER <br />STATE OR LOCAL LAW REGULSTING CONSTRUCTiON UR THE PEflFORMANCE OF CONSTRUCTION. THAT I Ald AUTHORIZED BY TNc <br />OWNER OF THIS PROPERTY TO PERFORtiI THE WOAK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296.200 WAC. - . <br />/`,Je���C ,� <br />Signature <br />_5 ;� -0 3 <br />Date <br />FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ��3OS `�� � <br />