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ELEC 'RICAL PERMIT A' PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> `�!o'Z� 1�r`` Pv-.v.e LJ.e 5 t- <br /> PROJECT ADDRESS <br /> _ �.c,� c� � v�ZC�' ���.�..-c_ , _ <br /> Owner A7ail Address City State2ip Phone <br /> Tenant idail Address City S�ate2ip Phone <br /> - �� � �ti� � �����;� � � i �,� ,����. ;�-.� . �,��. . ��� � <br /> Electrical Contraclor Mail Address ' Ciry Slate2ip Phone <br /> �LI'�'1 Fl r�c;�"O��c .S �- (6C� , .>P <br /> Slate License Number Contracl Price of Work <br /> ���. <br />� Proposed Usa of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: t��v, ���„Lt,,:Lcw�cQ �7�%� p� d�lC� <br /> NOTE: PLAN� 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 WILL BE REVIEW ED 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 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 /> ENVIROIJMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPME��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 /> 1 HEREBY CERTIFY T'rIAT 1 HAVE READ AND EXAMINED THIS.4PPLICAT/ON AND KNOW THE SAME TO BE TFUC• AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRANTING OF.4 PERM1IIT DOES NOT PFESUME TO GIVE AUTHORITY TO V/OLATE O,4 CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAIM1'REGULArING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> 04YNER OF THIS PROPERTY TO PERFORM THE 6YORK FOR WHICH APPl.ICATION /S h1ADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. - <br /> ('� -7 <br /> ��:t��— -...1 Io ���.� [,� �—Z� c> 7 FEE <br /> Signatura Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> Eo3o�l-�8-8' <br />