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ELECT . �ICAL PERMIT APh�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� C 5 / I� I[. ;/S� � �'� <br /> � c. � � <br /> PROJ/ECT ADDRESS <br /> �/c�t � /< 4�� 1,� �C�l�.(./ �. � �/ C� !� '( �/..t'/f � � r.<' � 1' %. �- �`.. <br /> Owner Mall A ress Cily Stete2lp Phone <br /> t <br /> Tenant Meil Address City Stele/Zlp Phone <br /> ( � S ) <, /c / �� l/ / `"� f < �r..�/ < < .d `iSJ... �' 35� S�'f'f <br /> Elecidcel CaNrector IAail Address Clty Stete2ip Phone <br /> J��5� Fl �'-� r,'. ' r�",� (.-,J�` • �� <br /> Slale License Number Conlract Price ol Work <br /> L/ < � <br /> Proposed Cae ol Building Contect Pe�son (Plan Review) <br /> Descriplion ol Work to Be Done: � � /c • � �[' '��t' "i � � � <br /> NOT[: 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 TIiE 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 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SP.4CES 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 PECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIDLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3i06(b�4 E & F AND NOT LESS THAN 361NCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7HIS APPLICA7fON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PFOVISIONS OF LAWS AND CRDINANCES GWEFNING iHIS TYPE OF WOFR WILL BE COM1IPLETED N'HETHER SFECIFIEO HEREIN OF <br /> NOT, TNE GRANTING OF A PERMIT DOES NOi PRESUME 70 GIVE AUTHORITY 70 VIGGI TE OR CANCEL 7HE PqOV1510NS OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUCTION OF 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZEO BY 7HE <br /> OWNER OF 7HI5 PROPERTY TO PERFORM THE WORK FOF WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STA7E <br /> CONTFACTORS LAW 1A.^7 FCW AND 29&<"00 WAC. <br /> • , < <` <br /> FEE <br /> � � <br /> Signnlure Dale <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED ���� �� <br />