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ELECTnICAL PERMIT APF-�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRGET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1�3d (��' G� ,� , F��f � N- ��t ��C� <br /> PROJECT ADDRESS ,� <br /> �.�.t� /�b F�(5�7 �'��T�,�Qtic�i��. �,,.)�t %�1�;39G 3��9-1ooC, <br /> Owner Mail Address City State2ip Phone <br /> l— <br /> Tenant Mail Address Ciry State2ip Phone <br /> / r / � �eC��t-��c ��71 l `l(r���, 5 E `�u� .s u.l�� /,.�� /�oZ��� 33d ��C� 1�r' <br /> Electrical Conlractor Mail Address Ciry State/Zip Phone <br /> '��� � ���v� <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: � „j ���rl �i� �ri 1 �n�ti�YL� r� 't-t`n v� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BF_ <br /> APPROVED BY THE STATE OF WASHfNGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLAfJS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. 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 IRING IN NON-DW ELLINGS IS RE�UIRED l�0 BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDIGAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TFAVEL 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 E�UIPMENT WITHIN <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 /> I HERE6Y CERTIFY THAT 1 HAVE READ ANO EXAMINEO THIS APPLIC�7TION AND KNOW THE SAME TO BE TRUE.4ND CORRECL ALL <br /> PFOVISIONS OF LAWS ANO ORDINANCES GOVEFNING THIS TYPE OF WORfC INILL BE COMPLETED WHETHEF SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NO�PRESUME TO GIVE AUThIORITY TO VIOLATE OR CANCEL THE PROVISfONS OF ANY OTHER <br /> STATE UR LOCAL LAW REGULATING CONSTRUCTION OH THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOF/ZED BY THE <br /> OWNER OF THIS PROPERTI' TO PEFFORM THE WORK FOR INHICH APPLICATION IS MADE AMO 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 78.27 FCW AND 296.200 WAC. <br /> / ���_ ! FEE �� �_v <br /> � <br /> Signalure Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED Fd�l o5-aC3 <br />