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ELECTF.�CAL PERMIT APP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� 1� � �� 5�- �Ci � � _ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />i�?Ic <br />R1ail Address <br />`��l t ( NtT � <br />Mail Address <br />�, C� � t�.x v7 I <br />Mail Address <br />��E�-E(L� 5'��, <br />State License Number <br />��l' <br />Proposed Use ot Building <br />Description of Work to Be Done: <br />City <br />2 �-� --o � <br />��odoz-�� <br />State2ip <br />� n k� i&�,�+� (� <br />State2ip <br />Phone <br />Phone <br />City � State2ip Phone <br />� l,;�c:cA``, <br />Contract Prico of Work <br />Contact Person (Plan Review) <br />��8� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF E'JERETT PERMIT WILL BE ISSUFD. WAC 296-�6-140. AL� OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILIT�ES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: W �RING IN NON-DW ELLINuS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMNIUNICATIONS 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 AMD OTHER OPERADLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES UF WAC 51-20 SEC. 3106(6)4 [& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TNIS APPLICATlON ANO KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LA WS AND ORDINHNCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HErTEIN OR <br />NOT, THE GRANTING OF A PEFM/T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF FNY OTHER <br />STATE OR LOCAL LAW REGULATINu CONSTRUCT/ON OR THE PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE �TATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� � <br />�1 � � ' ��� ��;OCC> FEE <br />�,� ��'- , . �a <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ��!�Od z, �5� <br />