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ELEC"��RICAL PERMIT AF�LICATION <br />CITY OF EVERETT PEf�MIT SERVIC�� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-A810 - FA::425•257-8857 <br />�.;�3i�% //L;vt, �%"•`_;�t ;'��"I� �', /iJ� �Jb'��Ct, <br />PROJECT ADDRESS � �; s <br />;_A�� �"���>> ��;�i l��;il:�s�1��i�/� ��_�17tCC( GrJA,9�v/�� G���-��i39 <br />Owner Mail Address City State2ip Phone <br />'enant Mail Address City State2ip Phone <br />Electncal CoNractor Meii Atltlress <br />Stete License Number <br />Proposed Use ol Building <br />Clly <br />StatelZip <br />Contract Price of Work <br />Contact Person (Plan Raviaw) <br />Phone <br />/�t r /� � � <br />Descriplion cl Work to 6e Done: /�('/�..�.��lL LC ('.(. ( � '��)� � /C/f - i �'.�l 44. �i.�� . / �� / [.0 l I ��I��lC ��i(J l� <br />� �� / i �� , e� � ��� s . <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF VVASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />ANPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-14U. ALL OTHER <br />EDUCATIONA� FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-OWELLINC,S IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTFiICAL AND COMMUNICATIONS SYSTEM RECEP7ACLES ON WAI.LS <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 OTHEF CONTROL RECEPTACLES AND OTHEF OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUT[S OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51•20 SEC. 3106�b�4 E& F AND NOT LESS THAN 36 INC4ES ABOVE THE FLOOR. <br />I HERE6Y CERTiFV THAT I MAVE RE4D AND EXAM1I/NED rhlS APPLICAT10� '�NC KNOW 7NE SAM� TO BE TRUE AND CORFECL ALL <br />PROVISIONS OF LAWS ANO OFOIN?NCES GOVEFN/NG THIS 7YPE OF WOfiK LYILL BE COMPLE7ED WHETHER SPECIFIED HERFIN OR <br />NOT 7HE GFANTING OF A PERMi' OOES NOT PRESUM1IE TO GIVE AU7HORITI' TO V/OLATE OF CAl ICEL THE PFOVIS/ONS OF ANY OTHER <br />STATE OR LOCAL LAW RE^uULA71NG CONSTFUC710N OR THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THE <br />OWNER OF 7HIS PFOPERTY TO PERFORM1I 7HE WORK FOR WHICH APPLICATION IS MADE .9ND I COMPLY WITH THE S7ATE <br />CONTRAGTORS LAW 18.L7 RCW A�/D 296100 WAC. <br />� .c.-1-�-._ <br />Signelure <br />DE817 & CREDIT CARDS AHE NOT ACCEPTED <br />Da�e <br />�c� 3C>�-C3.�'l <br />FEE <br />