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E� �CTrsICAL PERMIT API- �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 <br />�.l Z �, l�� ��� <> � S, L__ <br />PROJECT ADDRESS <br />i'���]/7 /� � �ii/��C <br />Ownar <br />Mail Address <br />City <br />AU� b�.� G� <br />State2lp Phone <br />l?�i��/� F,�,:'r�� �7�'�� 1��.� `I�/ �yu,r�J.���c� cc�� '�l�-.,1V/1j%f <br />Tenant <br />Eleclrical Conlreclor <br />5taie License Numbor <br />Meil Address <br />Mail Address <br />City <br />City <br />Atale2lp <br />Stete2ip <br />Contract Price ol Work <br />J � <br />.� cn q � <br />Proposeu Use ol Building Contact Person (Plan Review) <br />DescriptionofWoikloBoDono: �/f�/-/i) /��1��7//�'� //7 61.--��,� �' /./fui� rt,"— <br />r <br />f� � � .. ���� ��L' �i;' '�Z�/,'�.'� G�n . <br />Phone <br />Ph�ne <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROV[D PLANS BEFORE CITY OF EVERETT PERMIT 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 REQUIRED TO BE IN RACEWAY3, MC OR AC CABLE. <br />HANDICAPPED 4CCESSIBI� ITY: ELECTRICAL .1ND COMMUNICATIONS SYSTEM RECEPTAC�ES ON WALLS <br />WITHIN ACCESSIBLE $PAC ES OR ALONG ACCF`.iSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED A MINIMUtiI <br />OF 15 INCHES ABOVE THE �LOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG A�CESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />NANGES OF VJAC 514U SEC. 3106(b�4 E 8 F AND NUT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />� HEREBY CERTIFY tHAT / HAVE READ AND EXAMINED iHIS APPLICATION AND KNON' TiiE SAME 70 BE TRUE 4ND CORRECT. ALL <br />PFOVISIONS OF LALVS AND ORDINANCES GOVEFNING 7HIS TVPE OF WORK WILL 6E COMPLETED WHETHEF SFECIF/ED HEREIN OR <br />NOT, 7HE GRANTING OF A PERM/T DOES NOT PRESUME TO GIVE AUTHORITI' 70 VIOLriTE OR CANCEL 7Hf PROVISIONS OF ANV OTHER <br />STA7E OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFOHMANCE OF CCNSTRUCTION. THAT I AM AUTHOFIZED BY THE <br />OWNER QF THIS PROPEFTY 70 PERFORM THE WORK FOR WHICN ApPLICATION IS A1ADE AND 1 COMPLY WITH THE STA7E <br />CONiRACTORS LAW iH.27 RCW AND 296.200 WAC. <br />i� � �` � i� <br />� �� �� �L c�/./S -c �/ <br />Signe�ur,� Date <br />DEBIT & CRf:DIT CARDS ARE NOT ACCEPTED �G� I Gy— D� z <br />FEE <br />