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ELECTrsICAL 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 />IOa I � /�/'OG(�1.✓p� <br />PR�JECTADDRESS <br />vo /vc Ke•� TS <br />Ownsr <br />�o�✓u Qe�%S <br />Ten�nl <br />QFS C.�Pc�-� � <br />Mell Adtlress <br />Clty <br />Mell Addreea Clty <br />{�o ,�ou /4/� /iisv <br />Cont�ector Mell Addreae <br />(�S � �r+E � 022 c�,z <br />State Llcense Number <br />RQ � t'G � �s vi D+w•p �.,'�" <br />Proposed Use ol Buii ng T <br />Description of Work to Be Done: <br />D <br />Suta2lp Phone <br />Steta2lp Phona <br />� Rp2% 36 0 659-/16 <br />ciy Sute2ip rnona <br />�� Oao <br />Contract rlce ol Work <br />r <br />Contact Paraon (Plan Revlew) <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 SH01V 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 REOUIRED 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 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEb 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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES �30VERNING THIS TYPE OF WORH WILL BE COMPLETED WHETHER SPECIFIED �4EREIN OR <br />N07, THE GRANTING OF,a pERM1T DOES NOT PRESUME TO GIVE AUTHO�iITY TO VIOUTE OH CANCEL THE PAOVISIONS OF f�.NY OTHER <br />STA i E UR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 1'NE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br />CONTRALTORS LAK' 18.27 RCW AND 796.200 WAC. <br />�� <br />Siqneture <br />,.� � FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E p�I U i- GC�S <br />