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ELEC'� RIC�4L PERMIT AFr�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 9�z 1 l 6�`"�r, u1�.�,� <br /> PROJECT ADDRESS <br /> �S�G�Q � 1'FC� <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> k'�M � 1�.�,{-+-�� 'L�r�� vr�vE �,f, r�1A- �az�� 2�z-9�1�7 <br /> Elecirical Contraclor Mail Address City State2ip Phone <br /> �N1 EL�<_ �-l�7 �<11 ��JD �m` <br /> State License Num6er Conlract Price of Work <br /> ��� <br /> Pmposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �1 L l''h�-�O 1�1 et,� ��SI�(,P,k,� <br /> NGTE: 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 FACILITIES AND ALL HEALTH CARE FACILITIES PLANS N/ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RE!:EPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE i�10UNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> EN�IIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMEi�T 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 HEREBY CERTIFY ThAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND CORRECL ALL <br /> PROVISIONS O�'LAWS AND OROINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, rHE GRANTlNG OF A PEPMIT OOES NOT PFESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISlONS OF ANY OTHER <br /> STArE OR LOCAL LAW FEGUL7TING CONSTFUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> ONJNER OF THIS PROPERTY TO PERFOFh1 7HE WORK FOR WHICH APPLICATION IS MAOE AND / COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1 B27 RCW AND 296200 WAC. <br /> �1.�.,.. 1�.--1 L1J0�1�— �` I'O� FEE <br /> Signawre Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED CO3G& - i� .�1 � <br /> A - <br />