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ELECTr�ICAL PERMIT API-LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />( �n (�r `�S � � 5 � . 5 ,,� . <br />PROJECT ADDRESS <br />C; r`.� S. <br />Owner <br />C' <br />-� � <br />Tenant <br />-�� <br />Electrical Contractor <br />Mail Address Ciry <br />Mell Address Clty <br />�SII `��,��'��5� S� <br />Mail Address Clly <br />�,-� /�-t�� �ti`e e -1�- / "J S ✓3 /"1 <br />Slate License Number <br />�,e'_ `J l `Ci-t� "_ �� <br />Proposed Use ol Building <br />Description of Work lo Be Dono: <br />c_�r � <br />Slete2lp <br />Stale2lp <br />Slale/Zip <br />-c�- <br />Contract Prico ol Work <br />Phone <br />Phone <br />�Q Y2)'�31�%°%)^ <br />C/ <br />—._ c.� <br />Contect Person (Plan Review) <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 PERMIT WILL Bt ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAHE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOT[: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, i11C OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />INITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED 4 MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITF�!N <br />ACCESSIBLF SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FEACH <br />RANGES OF WAC 51•20 SEC. 3106(b�4 E 8 F AND NOT �ESS THAN 36 INCHES ABOVE THE FLOOR. <br />i H[REBY' CERTIFV 7HAt I HAVE READ AND EXAMMED THIS APPLICATION aND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORH vVILL 8E COMPLETED WMETHEF SPEqFIED HEREIN OR <br />NOT, 7HE GFANTING OF A PERM/T DOES NOT PRESU6IE 70 GIVE AUTMORITY TO VIOL4TE OA CANCEL 7HE PFOVISIONS OF ANY OiHEF <br />ST4TE OF LOCAL L4lh' FEGULATING CONSTRUCTION OF iHE PEFFORMANCE OF CONSTRUCTION. T4AT 1 AM AUTHORIZED BY THE <br />OLL'NEF OF THIS PROPERTY TO PERFOFM THE W017H FOF WHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC70RS LAN' 1827 RCW AND 296.200 IVAC. <br />Signeture <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />oaie <br />���G��Q� <br />FEE <br />