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�- ELECT ICAL PERMIT AP�-�ICATION <br /> I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98i?01 <br /> � 425-257-8810 - FAX 425457-8857 <br /> L__ <br /> ; yv r �fi���c�.,� �,U,E y;�� - <br /> PROJE�T ADDRESS <br /> f'�k lyo� r5 ,4G.�k�„' Av , �v��'rT wti 9�ag7 �'�sy <br /> Cwner Mail Address Ciry Fta:a�Zip phone <br /> Tenant MailAddress City State/Zip `i�� <br /> El���4NOr:.l2 S'► S S�,s�i �VEl2� �4V� . �fl/Elfl�l% W�! ��'.��1 �.��� ti <br /> Eloctricel Conlractor Maii nddress City State2ip Phone <br /> ��'l�r4Ns5/Y1- C.L� <br /> Slate License Numbnr Contract Price of Work <br /> Sf lZ <br /> Proposed Uso ol Building Contecl Pflrson (Plan Reviow) <br /> , <br /> Descriplion of Work lo Be Done: ��4 '��1:Vl�[ �lJ� ( 1�LC'(% L/A�/a'L�t L�/dC�P!^ <br /> NOTE: PLAPJS FOR ELECTRICAL WORK AT F.DUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THF STATE OF WASHING701J. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERET(' PERMIT �NILL 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•D\NELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLES ON WALLS <br /> WITHIN ACCESSBLE SF'AC4S OR AL��NG ACCESSIBLE ROUTES OF TRAVEL SNALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTFIER CONTROL RECEPTACLES AND OTHFR OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBL[ ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. :106�b�4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CEFLFY THAT 1 HAVE READ AND EXAh11NED 7HIS AFPLICATIOfJ AND Y,NOW THE SAME TO BE ?FUE AND CORFECT. ALL <br /> PROVISIOVS OF LAWS AND ORDINANi.ES GCVERNING TrIIS 7YPE OF YrORK tY1LL BE COMFLETED WHETHER SPEGFIED MEFEIN OR <br /> NOT, THE uRANTING OF A PERMIT DOES NOT PRESUM1.'E i O GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PFOI/ISIONS CF ANY OTHER <br /> 57ATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF GCrVSTRUC710N THAT I .�Id AUTHORIZED BY THE <br /> OWNER OF TH�S PROPERTY TO PEFFORM THE WOAK FOR WHICH APPLICATION IS ,NADE .iNO I COM1IPLV W17h' THE STATE <br /> CONTRACTORS:.AN.' 18.27 RCW AND 296 200 WAC. <br /> � r•� <br /> � ,� r'� . t �-- �/�'y FE�: 2�s_ �-._ <br /> � Sgnature Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED , r U U�, - t�/ �G' <br /> �_. <br />