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ELEC �r�ICAL PERMIT API-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1 Le �-� `� 5t� �� . S� l_,7. E,vutitl L� f��J <br />PROJECT ADDRESS <br />l' w�.a`_ Po F,�.� k 15� `I 5,....1...�:� t�2 9d'�-20 '3�9- l oo(� <br />Owner <br />Tenant <br />Mall Addrass <br />Mell Atldress <br />Clty <br />City <br />State2ip <br />Stnte2ip <br />Phone <br />Phone <br />l-�� �..,��.....:i E�•�,-� c��5�1 `���' n� S�f �,.�lb�..,�.:� t.J2 9'8�90 33o-7a4(n <br />Elec�ricel Contrector Meil Address Ciry State2ip Phone <br />�fl`�Bv� <br />Slale License Number Contract Price of Work <br />Proposed Use ol Building <br />Descriptlon of Work lo Be Done: <br />Contact Person (Plen Review) <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 BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 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 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 />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF 7RAVEL 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 Tt IE FLOOR. <br />I MEFEBY CERTIFY THA7 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PFOVISIONS OF U1 WS AND ORDINANCES GOVERNING THIS 7YPE OF IYOFK WlLL BE COMPLETED WMETHER SPECIFIED MEFEIN OR <br />NOT, THE GFANTING OF A PERMIT DOES NOT P.9ESUhfE 70 GIVE AUTHOAITI' TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTMER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORAfANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO 8Y THE <br />OLVNER OF THIS PROPERTY TO PERFORhf THE WORK FOR WHICH AFPLICATION IS MADE AND 1 COMPLY WITH THE S7ATE <br />C0�'Tf7ACTOFS LAW 1827 RCW AND 296.200 WAC. <br />SignaWre <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />ayi � FEE <br />u <br />Date <br />� y�3- ��v <br />