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ELECTr �ICAL PERMIT APF- �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �''��*'i %�� �r � I�;- � .�, , (<, � �`1C� ��e..�.��1 <br /> PROJECT ADDRESS <br /> � � l. L_i VL' �, r _� , `� ��,1` =���`le�' l� ,�. <br /> -- %'>s ,� l / J -Y«� � �„ u_ C <br /> Owner Mail Address Ci�y State2ip phnne <br /> Tenant Pdail Address Ciry State2ip phone <br /> � 1h.�.c._: d t'I.P;�-� : t_ F�c�l(. ��Cc�l�:. S • � �l-i ..`.. �� n. ����.2°(Q 3=>•f -`/n��- <br /> Electrical Con�raclor Mail Address City State2ip Phone <br /> �k1 / �`/� �( <br /> State License Number Contract Price of VYork <br /> Proposed Use of Building Contact Person ;Plan Review) <br /> � <br /> 1 J � <br /> Description of Work to Be Done: '��_�T� p�,� (�,� �. � <br /> v <br /> NOTE: PLANS FOF ELECTRICAL �NORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUS7 SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUE�. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W 191NG IN NON-DW ELLINGS IS RFQUIRED TO BE IN RACEI�JAYS, MC OR AC CABLE. <br />`� HANDICAPPED ACCESSIBII_ITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> IOF 75 INCHES ABOV6 THE FLOOR. WAC 51-20 S[C. 3106(c)2. <br /> ENVIRGNMENTAL AND OTHER CONTROL RECEf'TACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBL[ ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R,�NGES OF WAG 57-2U SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> - � <br /> I .4ERcBY CEF7IFY 7HAT I hA l E READ AND EXAM11INED THIS APPCICATION AND KNOW THE SAME TO BE Tq( AND CORRECL ALL <br /> PRCVISIONS OF LAWS .iND OROINANCES GOVEFNING THIS 7YPE OF WGRK WILL BE COh1PLETED WHETHER SPEC(FIED HEREIN OR <br /> N07', Tl fE GR4NTING OF A FEFMIT DOES�NOT PRESUME TO GIVE 4UTHORITV TO VIOLAT[OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL L7W REGULA7ING CONSTRUCTION OR THE PERFORMPNCE OF CONSTRUC710N THAT!AM AUTHORIZED 6Y THE <br /> OWNER OF THIS ?ROPERTY TO PERFOFh1 7HE VJORK FOR 4VHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STA7E <br /> CONTRACTORS LAW 78.27 RyW AND 29d.200 WAC. <br /> i <br /> �� <br /> � �' � �-�'—��L-- �i� %� � FEE^ �- c>E� <br /> vL� l-- � ��� <br /> Signature Date -� - ' <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED L// � — j�ji <br /> / L' � <br />�_ __ _ <br />