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ELECY riICAL PERMIT AP�-LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ; ',D/ /.� � �'�«f-� <br /> �PROJECT� A�DD/'RESS , <br /> LL�1'71�,v /.�/l� � <br /> Owner Meil Aadress Ciry Stele2ip Phone <br /> Tenant Meil Address City Slete2ip Phone <br /> �� � ���� i <br /> Eleclncal Contractor Ma�l Address Ciry Slate/Zlp Phana <br /> State License Number Contract Price of Work <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> �/� /� � <br /> Description of Work to Be Done: /�jY� /,�j/1 � �CJ�2LCJ/ <br /> 0 <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 FLOOF. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT 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 CERTIFV 7HAT I HAVE READ ANO EXAAfINEO 7HIS APPLICATION AND KNOW rHE SAME TO BE TqUE AND CORFECT. ALL <br /> AFOVISIONS OF u1W5 4N0 ORD/NANCES v'OVEFNWG 7H/S lYPE OF WORK WILL BE COMPLETEO WHETHER SPEC/FIEO HEREIN OR <br /> VOT. 7HE GFANTING OF A PERMIT DOES NOT PFESUME TO GIVE AU7'HOF/71' TO VIOL.1 TE OR CANCEL 7HE PROVISIONS OF ANY OTHER <br /> STA7E CR LOCAL LAW REGUL47/NG CON57FUCTION OF THE PEAFORMANCF OF CONSTRUC710N. 7HAT 1 AM AUrHORIZEO B✓ 7HE <br /> OLVN F 7H15 PROPEHTY 7p PERFORM1I 7NE WOFK FCR WHICH APPLICA710N /S MADE AND I COMPLY W17H THE STATE <br /> CO I7A ,70FS LAW 78. RCW ANO 296.200 W <br /> � ��� %�-� FEE <br /> u3� � �� <br /> Slgneture Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED F�G3-CJb{O <br />