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�- ELECTr�ICAL PE�RMIT APF-�ICATION <br /> I CITY OF EVERETT" PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 7 <br /> `%!Y,��r 1 l�, �v �7 , �,ti-�.�� L� �i- ���� <br /> PROJECT ADDRESS <br /> -, <br /> �- '���� � �C.� �c.� ����� ��i,���r��_,. .'�i� �. `l�l-�tl _�r�"I �(<;fc.. <br /> Owner Mail Address Ciry State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> l_�YC \ <br /> �-�,_ �.: �..< <��r�il `7i�'� 1'): �� (� . =��: ���: � �� ( �� ,� , , , �. ; . <br /> .;,��:,.., �� ;:�> ,n i ��C z, �c �'G <br /> Eleclrical COnlracto� Mail Address Ciry State/Zip Phone <br /> � 7�I �'�/�� _ <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Buildin9 Contact Person (Plan Review) <br /> i� / <br /> Description of Work to Be Done: `/�� ,� �<<�(���'1-t q ' �n k`5�IT�C�< t'C r� t� <br /> —� - <br /> NOTE: PLANS FOR ELECTfiICAL W�FIK AT EDUCATIONAL, FACILITIES UTILIZING STAT[ FUNDS MUST 6E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW TH� STATc <br /> APPROVED PLANS BEFORE CITY OF EVERETT PER�v1iT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIOP!AL FACILITIES AND ALL HEALTH CARF_ FACILITIES PLANS WILL BE REVI�WED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REC�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON W�LLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE N10UNTED 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE P.EACH <br /> RANGES OF WAC 51•2G SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREHY CERTIFY 7HA7 I HAVE READ AND EXAM11INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COARECT. ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVEFNING THIS TYPE OF b'✓OFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAM1-IIT DOES NOT PFESUPAE TO GIVE AUTHORITY TO VIOli7TE OR CANCEL THE PFOVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OF rHE PEFFOFh1ANCE OF CONSTn^UCTION. THAT 1 AM AUTHOFIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PEFFGRM THE WOFK FOR WHIC,4 APPLICATION IS MADE AND 1 COMPLY Nl17H 7HE ST'ATE <br /> CONTRACTORS LAW 1 H,27 RCW AND 296.200 WRC. <br /> (��� � � � � �, <br /> {� —<�--`--� � FEE � ' ��c-- <br /> =r ='�/_ , �/,� > �r, �j �� -- <br /> , , <br /> Signature Da�e <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTEQ y�,,�-_ �•`. � <br />