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ELECTP,' �AL PERMIT APP� CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />; �' � . ../- <br />PROJECT ADDRESS <br />� �I - � <br />i.,, .1�� /.�� � � / r .i.� / � � �� ,� '� '1�� � �> t / �,J�/"c i✓ �r'..1 <br />J' <br />QW/IBf <br />Tenant <br />Electncal Conlractor <br />Mail Adtlress <br />Mail Address <br />Moil Atltlress <br />�,�n � � <br />Slale License Number <br />�.'r' � , /!.4'r� <br />Fraposed Use of Building <br />Descnption ol Work to �e Done� %,-. , ;'� �,� <br />Ciry <br />City <br />Ciry <br />State2ip <br />Slate/Zip <br />S�ateRip <br />Coniract Pnce ol Work <br />Contact Persan (Plan Review) <br />Phona <br />Phone <br />Phone <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 PERMI7 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: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEtvt FECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OF ALONG ACCESSIBLE HOUTES OF TRAVEL SHAIL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51 •20' cC. 3106�c)2. <br />ENVIRONMENTAL AND OTH[R CONTROL RECEPTACLE5 AND OTHER OFERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN 7HE REACH <br />fiANGES OF WAC 51 �20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />i HEFEFi 5 CE571F� THAT 1 H4VE FEAD ANO ENAh1/NED tH15 APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRCCIS�ONS JF L4lVS 4NC ORDINANCES �OVEFN/NG TH/5 TYPf CF WORK LVILL BE COMPLE7EC WHETHER SPECIFIED HEFEIN OR <br />NOT. iHE GFAN7Wi3 OF A PEFh11700ES NC7 P4FSUM1IE 70 GIVE 4UTHOFI7Y 7C VICL47E OR CANCfL THE PROVISIONS OF ANYOTHER <br />STA1�E OR ICCAC L4lY FEu'L'L17/NG CCNSrF�C'iON �F 7hE PEFFOFAI4NCE JF CCNSTFUC710N. THAT I AM AU7HORIZED BY THE <br />CWNEF OF 'HIS FFOPEF71' 70 PEFFOFhf THE IVCFk FCFi IYHICM APoLICATION �5 MADF AND 1 COMPLY WITH THE STAiE <br />CCN7RACTOFS L4lY' �8;' RCIV ANO.:Bti LOJ IY.1C <br />Si6naWre <br />F:[C:n��G P:;=�.� <br />' ./ <br />Dnte <br />FEE <br />�-; -/��� <br />