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ELEMeICAL PERMIT APB LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 <br />PROJECT ADDRESS <br />/�7in Zvi �v.>Jfi�cf,o /�r.)�j <br />lC7G Xz�e/ei - <br />4/11 g70P•20ti r/ r--7y <br />/T12 <br />Owner Mail Address <br />City <br />Stata0p <br />Phone <br />Tenant Mall Address <br />City <br />StataZp <br />Phone <br />Pio%sfluh: ?Y <br />e <br />!✓/i i�1Jz Aso-5/3rj1. <br />1,2 <br />Electrical Contractor Mail Address <br />City <br />State/7ip <br />Phone <br />P�oFEE2c 771el <br />state Ucense Number <br />Contract Price of Work <br />_ <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �jrj,�� p <br />���w -rf i lc, <br />e- L <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 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 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ <br />PROVISIONS OF LAWS AND ORDINANC! <br />NOT, THE GRANTING OF A PERMIT DOE; <br />STATE OR LOCAL LAW REGULATING C( <br />OWNER OF THIS PROPERTY TO PER <br />CONTRACTORS LAW 18.27 RCW AND 296 <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />THE SAME TO BE TRUE AND CORRECT. ALL <br />'OMPLETED WHETHER SPECIFIED HEREIN OR <br />OR CANCEL THE PROVISIONS OF ANY OTHER <br />iTRUCTION. THAT I AM AUTHORIZED BY THE <br />IS MADE AND : COMPLY WITH THE STATE <br />joy FEE <br />Date <br />6atloq -1 L(q <br />