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ELEC'� �ICAL PERMIT AE �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-2857 <br />��i � � � J� . �.�, { ( �..r.c�i <br />PROJECT ADDRESS <br />( , f:' C F ( ,. _ � •> <br />Owncr Mml Adtlrass Cily <br />Ton�nt <br />Electrical Contractor <br />-!� ! 7`1 f� - � <br />Slate License Number <br />Proposed Use ol Fuilding <br />Matl Adtlr�ss <br />��1_�ll `i�tL <br />Mail Address <br />City <br />7 <br />City <br />r�l?��� �'1°� n3� 5 <br />Stale/Zip <br />Slnto/Zip <br />Strte2ip <br />Contracl Frice of Work <br />Conlact Person (Plan Review) <br />� / <br />DescriptionolWorktoBeDone: ,1��;,t,�L,�� �� �� (��,��.���` l_;,..,�.� Q � <br />1 � � � C A � � A - /^ I([\- �r l! ry I <br />Phone <br />Phone <br />�{2��1 <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNUS 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 (:ABLE. <br />HANDICAPPED ACCESSIBILITY: ELECI RICAL 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 FLC'.7R. WAC 5 i•20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSI3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES O� WAC 51-20 SEC. 3106(b�4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CE.4TIFY rHAT I HAVE READ AND EXAM/NED THIS AF°� �CATION AND KNOW THE SAME TO BE 7RUE AND CORRECT. ALL <br />PFOVIS7CN5 OF LAWS AND ORDINANCES GOVERNING iHIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br />NOT THE GRANiING UF 4 PERM1117 DOES NOT PAE Sr�;�E TO GNE AU7HJRITI' TO VIOLATE OACANCEL rHE PROVISIONS OF ANV OTHER <br />STA7E OR LOCAL LAW REGULATING CONSTRUCTION Jfi THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OLNNER OF THIS PFOPEFTY TO PERFORM THE WORK FOR WHICH APPLIr,ATIt7N IS MADE AND I COMPLV WIiH THE STATE <br />CONTRACTORS LAW iB27liGW AND 296200 WAC. <br />ygnawre U91e <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED l d 3DS�c � � <br />FEE <br />