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ELEC� r�ICAL PERMIT APr�LICATION <br /> CITY OF E�/ERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> `1���ti � e�'' D� . ��.��- <br /> PROJECT ADDRESS <br /> C-D�d �v�e'.�IC <br /> C�wner Mail Address City State2io Phone <br /> Tenant Mail Address City State2ip Phone <br /> l� � (vl �i��h� �. 2�Itb P��r s� E.,f. c,J F� ��eu� �Zs-z sz� �r�ro� <br /> EleCtrical CoNraCtor Mail Atldress City State2ip Phone <br /> �1'N7 �L��•� /�f�1ELCi,�a�7G�,�1 �t�n� .-� <br /> State L' ense:�umber Cont act Price of Work <br /> ��F� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: ZOU ('�''w� �,�.,W �f�.'J-uc�-C^n.c-Q <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 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: WIfiING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAi!DICAPPED ACCESSIEILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHiN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVCL 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 /> ,�CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAG 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFV THAT! HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF LAWS AND OROINA�'CES GOVERNING THIS TYPE OF WOFK WILL BE COMPCETED WHETHER SPECIFIED HEREIN Oq � <br /> N(JT. 7HE GRANTING OF A PERMIT DCES NUT PRESUh4E TO GIVE AUrHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CGNSTRUCTION OR THE PEFFO.qMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED HY THE <br /> OWNEA OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLlCATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS LAW 18.27 RCW AND 2y6200 WAC. , <br /> �I/L�^-L+--L U�� '�- Z_� -cl� FEE ' <br /> Signature Date � <br /> DEBIT& GREDIT CARDS ARE NOT ACCEPTED �03G"J_�pC.� <br /> 1 <br />