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ELEC'� RICAL PERMIT A�-�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREFT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />%�CJ ''1 — / % f.e� ,Q ✓�_ � . Y . <br />PROJECT ADDRESS <br />��' t�/ �. %SD � — l7 C-i, �'i;,,; ��1� I�lii=OG_Ti /£/L� <br />Owner <br />Tenant <br />Electccal <br />Mail Address <br />Mail Address <br />Mail Address <br />�'hp� �, ��. S�s ��,�. <br />State License Number <br />Proposed Use af Building <br />Description of Work �. Fie Done: <br />City <br />Ciry <br />City <br />State2ip <br />Slate2ip <br />State2ip <br />�/7; o•c>n <br />Coniract Price of Work <br />Phone <br />Phone <br />� .. ��7 <br />Phone <br />n <br />f�>>QC`�n n�, d. ,S ; -;�G,- ,J � y <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCA.?IONAL, FACILITIES UTILI7ING STATE FUNDS MUST BE <br />APFROVED BY THE STATE OF WASHINGTON. A?PLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PcRM17 WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACI�I?!ES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOl'E: WIRING I�I NON-DWELLINGS IS RE�UIRED TO BE I�� RACEWAYS, MC OR AC CABLE. <br />FiANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACC�SSIBLE SPACES OR ALONG ACCESSIBLE FiOUTES 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 WI7HIN <br />AC =SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED VVITHIN THE REACH <br />FiANGES OF WAC 51-20 SEC. 3106(b)4 E& F ANG tvOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMlNED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PAOVISIONS OF LAWS AND OFDINANCES GOVERNING THiS TYPE OF WOAK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A F'EFMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FROVI SIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTAUCTION. 7HAT I AM AUTHORIZED BY 7HE <br />OWPJER OF THIS PROPEqTY 'f0 PEAFORM THE WORK FOR WH/CH APPLICATION IS MADE AND / COMPLY WITH THE STATE <br />L'ONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />DEBIT & CREQIT CARDS ARE NOT ACCEPTED <br />� � FEE <br />Date <br />��S[?j-ot��7 <br />