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ELECT�RICAL PERMIT APoLICATION <br />CIiY'uF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />°/92� EVti�LGR�f.�l �v'q`� <br />PROJECT ADDRESS <br />Owner <br />Cv/V I,�.e�,�, <br />Tenant <br />Eiectrical Coniractor <br />_ RooG�'��3z�A <br />Slate License Number <br />� J V t� ��,J�avyvrlW: <br />Mail Address <br />Mail Address <br />Mail Address <br />��11� � t�IC�f.`�S <br />Proposed Use of Build g <br />Description of Work to Be Done: <br />City <br />�' ��' <br />City <br />���� � <br />City <br />G <br />�' �1LJST S►O� O,F LD-�' <br />G blo <br />Sla�eiZip <br />State2ip <br />Slate2ip <br />Contract Price of Work <br />9'�Z�S' 3E;o.�frt <br />Phane <br />Phone <br />LS. Zsz.210 <br />Phone <br />Conlact Person (Plan Review) <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 SiATE <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 FtACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPI'ACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />CF 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 1NCHES ABOVE THE FLOOF. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAM/NED TH'S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS/ONS OF LAWS AND ORDINANCES GOVERNING THiS TYPE OF WORK WI! L BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE ('iRANTING OF A PERMIT DOES NOT PRESU,l1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV/SIONS OFANY OTHER � <br />STATE OR LOCA(. LAW REGULATING CONSTRUCTION OR THE FERFORMANCE JF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br />OWNEH OF TH/S pPERTY TO PERFORM THE WOfiK FOR WHICH APPLI:ATION IS MADE AND l COMPLY WITH THE STATE <br />CONTRACTORS LA 1�78.27 RCW AND 296.200 WAC. . <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />�Q5G5-!G� <br />FEE�2 � u � <br />t� <br />