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ELEC1 AICAL PERMIT APrLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257.8857 <br />PROJECT ADDRESS <br />Owner M75dre§s �ej City State2lp Phone <br />yzs <br />'It,j 11yoosrk,1.= � 6o.ti-t,Gy.g 9Ytv3 -/ s-YS� <br />Tenant Mad Address City State/Zip Phogp <br />r . (/ Z'S <br />A�ru.�dA10v <br />Electrical /Contractor Mall Address city <br />lV e4e. Y c r ' /�c . , k, <br />State License Number <br />6J v t'te.(rr / .% <br />Proposed Use of Building <br />q{glateizip Phone <br />'M j li�L,c✓ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: /fir f �')// 11A rh ( Yj D6/fi/r- /0 1/41 # 40 1,. rs <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 REQUIRED 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES 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 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 <br />PROVISIONS OF LAWS ANI <br />NOT, THE GRANTING OF A I <br />STATE OR LOCAL LAW REi <br />OWNER OF THIS PROPEF <br />CONTRACTORS LAW 18.271 <br />Signature <br />TO PERFORM THE <br />AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />HIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />'0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />?THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />'K FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />FEE <br />Date <br />107-/w <br />