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ELEC�I�ICAL PERMI� APF�ICE+TION <br /> CITY OF EVEF2�TT PERMIT SERVICES �as-Q(� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��/,�S-� <br /> 425-257-8810 - FAX 425-257-8857 �f <br /> ��f� �7 1(�t �� �, c :, ��:� ���l �� � � � <br /> PROJECT ADDRESS <br /> ` �'`y-'� ` ,,r , : <br /> �' �L.�i� H�Z� Fx"I= �t� 7`� ��ti: �.,; � i .! C.v:� ( r� I� L(; > > � —[d��� <br /> Ownef Mail Address City State2ip Phcne <br /> TBnant / Mail Address � City SlatelZ�p Phone <br /> /� ,� ,-� �� 'F�: �lr�L l `fC ���,� � l `-�r j�. .«,�;� �;1:.� ` ��r'`l/', •,-',ct —�t�"r� I <br /> � <br /> Electrical Coniractor Mail Address City State/Zip Phone <br /> , /.l`%��/�� I <br /> State License Numher Contracl Price of Work <br /> Proposed Use ol Building Contact Person (Pian Review) I, <br /> � /�� -� // � <br /> Description of Work to Be Done: `��v /( c'` �� :. ��. ! � <br /> NOTE: PLP.NS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST �E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORF CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILII'IES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED'f0 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. 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 REACH <br /> RANGES OF WAC 51•20 SEC. "106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFE6Y CERTIFY THAT I HAVc READ AND EXAh11NED THIS APPLICATION ANO KNOW THE SAME T�J 6E i'RUE AND COFREGT. ALL <br /> PFOVISIONS OF Lr7 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COP.IPLETED WHETHEA SPECIFIED H[REIN OR <br /> NOT, THE GFANTING OF A PE.4h11T DUES NOT PFESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AMY OTHER <br /> STATE OR LOCAL LAW R�GULATING CONSTRUCTION OR THE PERFORM11ANCE OF CONSTRUCTION. THAT 1 AM AUTHOAIZED BY THE <br /> OWNER OF THIS PRQPcRTY TO PERFORM THc WORK FOR WHICH APPLICATION IS MADE AND I GOM11PLY WITH THE STATE <br /> CONTRACTORS LAW� .D RCW AND 296200 WAC. <br /> �:� , <br /> / <br /> //�, 'C_ '�C' --�—� �_�/?r��� FEE r ��� <br /> 'J�: <br /> ' Signature Date <br />' DEBIT & CREDIT CAR[7S ARE NOT ACCEPTED �/Oj -�Cj <br />� ---- - _ "- - <br />