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ELECT�ICAL P�RMIT APF�ICATION <br /> CITY OF EVERETT PERMIT SERV�CES <br /> 3200 CEDAR STREET, EVERETT; WA 9820, <br /> 425-257-8810 - FAX 425-257-8857 <br /> �`��� l��`1 �' /�,- �, �,,� v�'; �rf�� � <br /> PROJECT ADDRESS <br /> -(' lL� � �x /�79 �'�.��.�.�+C� C..� ��d �5q-roo� <br /> Owner Mail Address Ciry StateLZip Phona <br /> �— <br /> Tenant Mail Address Cily State2ip Phone <br /> r�a�.�-c:� �(e� �vr'� r���ll `i"�C�"�v. S;F,. �:�.:,u.wr�� /',J2 �t �191> >3o �y09(p <br /> Eledrical Contrac�or Mail Address Ciry StateiZip Phone <br /> -,� �?� �u� <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��_-� ,�(��'��M �'n� ���Ll�j�-y-��(��-c��rn <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 GITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL H[ALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO 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. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANJ KNOW THE SAME TO HE TFUE AND CORREC.T. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL Bc COMPLETED WHETHER SPECIFIED HERE/N OR <br /> NUT, THE GRAIJTI�lG OFA PERMl7 DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLiTE OR CANCEL TriE PFOVIS/ONS OFANY OTHER <br /> SrATE OFi LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORh1 THE WORK FOR WHlCH APPLICATION IS fvfADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78 27 RCW AND 296.200 WAC. � <br /> , �i <br /> � F� FEE �p <br /> , r���t <br /> Signature Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED Eo�{o5-0��-1 <br />