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ELEC��tICAL PERMIT AP�-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��30 ��'�-�� , S, c� , LQ¢� � ��-�- <br />PROJECT ADDRESS <br />��-1 . /�D ��1� /579 -��.. �..0 � L��t `� <br />Owner Mail Address City State2ip <br />L� — <br />Meil Atldresc <br />City <br />Elec ical Contraclor �da�l Atldress ���Y <br />��79�y1 <br />Sta1e Licenso Number <br />Propased Use ol Building <br />� <br />Descriplion ol Work to Be Done: <br />Slate2ip <br />Stnte�Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�`� <br />Phone <br />Phone <br />o--9Q9 <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />AF'PROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HE.4LTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABL.E. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLEa ON WALLS <br />WITHIN ACCESSIBIE 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 />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSBLE SPACES OR 4LONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b�4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEOY CERT'F1' THAT I HAVE READ AND [XAMINED THIS APPLICATION AND HNOW THE SAME TO BE TqUE AND COFREC7. ALL <br />PFOVISNNS OF LAWS AND ORDINANCES GOVEf7NING THIS TYPE OF WORH WILL QE COh4PLEtEO WHETHER SPEGFIED HEREIN OF <br />N07. TNE GFANTING OF A PERMI i DOES NOT PFESUAfE TO GIVE AUTHORITY TO VIOLATe Of7 CANCEL THE PROVISIONS OF ANY 07HEA <br />S7ATE OR LOCAL LAW REGULAT/NG CONSTRUCTION OR 7HE PEFFOFM1fANCE OF CONSTRUCTION. iHAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PFOPEFTY 70 PEFFOFh1 THE IM1'ORK FOR WMICH APPLICAiION IS MADE AND I COhiPLV WITH 7HE STATE <br />CONTFACTORS LAW I fl<^i R�LY AND 296200 WAC. <br />Si9na W ra <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/ <br />Date <br />F(YI 0�1 -/CL <br />FEE <br />