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ELE�TirsICAL PERMIT APF`ICATION <br /> CfTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> `�,,� � .,� � �r�. �. �.; , �,�;� � -t: � �f ���J <br /> PROJECT ADDRESS <br /> (� �� �- l''C� Fx�1�_ (�'1` .�n�. �� c�c; , � i. <br /> .. � <br /> 1 '�" �.c l�i f � 7�GC� :�T::si -io.:c: <br /> Owner Mail Address City StateiLip Phone <br /> Tenant Mail Address Ciry State2ip Phone <br /> f/(',�cut-�r j- '� , �a � c ���_1Ll �1['P.l�l�; . `� . � : � � � , cc�.'.� i', �/h ;�`/'/: -�.3c' — `)d C�; <br /> �_�. � � <br /> �leclrical Contractor Mail Address City State2ip Phone <br /> '_���1 7`I f� r�'• "l <br /> State L�cense Number Conlract Price of Wnrk <br /> Proposed Use of�uilding Contact Person (Plan Review) <br /> Description of Work to Be Done: / lc ` \ �i`, • � c :,�.� 1 � <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 FACILIrIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM NECEPTACLES ON WALLS <br /> WITHIN A�CESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 I�CHES ABOVE THE FLOOR. WP.0 51-20 SEC. 3106(c)2. <br />' ENVIRONMENTFlL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />' ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />� RANGES OF 1NAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN ?6 INCHES ABOVE THE FLOOR. <br /> I NEREBV CEATIFY THAT I HAVE READ ANO EXAM14INED THIS APPLICAT(ON AND KNOW THE SAhIE TO BE TAUE ANG COFFFCL ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WO,4K WILL BE COMPLETED WHETHER SPECIFIED HEr?EIN OR <br /> NOT, THE GRANTING OF A PERMI'f DOES NOT PRESUhiE TD GIVc AUTHOAITY TO VIOL4TE OR CANCEL THE PROVISICNS OF ANV CTHER <br /> STATE OF LOCAL LAW REGULATING CpNSTRUGT.iON OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZ�D BY THE <br /> OWNER CF THIS PROPEqTV TU PERFORM THE SYOFK FOR WHICH APPLICATIGN IS h4ADE AND 1 COMPLY WI7H THE ST/2TE <br /> CON7RACTORS LAW 18�r�CW AND 296.200 4VAC. <br /> � <br /> / ��j % <br /> �'/l,� i�� -� _--r ���i'�� r'+ � _ FEE r '--`f-- <br /> I ��r� � <br /> Signature Daie <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ���—�� <br />