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ELEC7 �ICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ) . � � � - J <br /> �i�-= 4 � c�. ' ►>: ��; . ��t � C �, r � �—( <br /> PROJECT ADDRESS <br /> � � <br /> � �� L�. �� ��� fi":�� .� �F� �`% �L�.�. �/� "f � <br /> � �� / �>r�r Z'� '� � �'-�0(:C; <br /> Owner Mail Address Ciry State2ip Phone <br /> Ten2n� Mail Address City State2ip phone <br /> t'l�Y�:.i:.�.w ( 4. 1 ( { � l' �� < � � c �' � '� _i! r�/, <br /> C i '"1', l � �l� �(� (7�. � . �: ' _�1,.,�,� � 4 I '�? ��.' ` rr C�' y< <br /> Electrical CoNractor Mail Address Cily State2ip Phone <br /> ,�'�'/ � ��� ��l � � . <br /> State License Number Coniract Price of Work � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> , � / <br /> Description of Work to Be Done: �1 F'� ;; �(' �- (`1' :.t j� <br /> NOTE: PLP.NS FOR ELECTRICAL WORK AT EDUCAlIONAL, FACILITIES UTILIZING STATE FUNDS �.9UST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT P[RMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS 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 ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WF�C 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTP.L AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITH!N <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 /> ! HEREBY CEF7IFY THAr 1 HAVE RE.4D AND Eh'AM1IINED THIS APPLICATION AND KNOW THE SAME TO BE Ti7UE AND COFFECT. ACL <br /> PROV(SIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE GF WORK WILL BE COhiPLETEO WHETHER SPEGFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL L4E PFOVISICPJS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUf�1TING CONSTRUC710N OR 7HE PERFORMANCE OF CCNSTRUCTION. THAT l:ihf AUTHOFIZEU o';' 7HE <br /> OWNEA OF THIS PROPER7Y 70 PERFORM THE WORK FOR LVHICH APPLICATICN IS 61ADE AND I COh1PLY WITH THE STATE <br /> CON7FACTORS LAW 18.27j7CW AND 296.200 WAC. <br /> /` / <br /> �., ��/ /_ <br /> L�'`/ �,� C,� L_ 't_ __ � , L f �i� FEE �,� Cj �`�- <br /> i— <br /> Signatur� Date — <br /> ii <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ` /� �n/ " � I <br /> 1 <br />