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ELECTI�ICAL PERMIT API-LIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> .i0 /,�Ot`.,.�� , �f-�� <br /> PROJECT ADDRESS <br /> �`,'f�r�,��� �/=/% �i11`�!� <br /> Owner Mail Atldress Ciry State/Zip Phone <br /> �j1��.vn' -.filas.�� �1�� /i3a -/�ic��tcla�stz� Sr�-�� /i,� c�',��v/ �sz2y,lzz/ <br /> Tenant Meil Address ity State2lp Phone <br /> I - � •- _ / <br /> � ��./ -. <br /> eiecmcai c,ontractor Mail Address Cuy State/Zip Phone <br /> State License Number Contract Pnce of Work <br /> �'�!�,L <br /> Proposed Use of Buildinc� Contact Person (Plan Review) <br /> Description of Work to Be Done: -^ � ���� f,, � <br /> -��,L F'vi ��'i �p)��/ 5 ' <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 29fi-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 OP, ALONG ACCESSIBLE ROUTES OF TRAVEI_ SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 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 8E 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 CERT/FY THAT I HAVE READ AND EXAM/NED THIS APPLICATION AND HNOW THE SAM11E TO BE TRUE AND CORRECT. ALL <br /> NO�VINE GFA�T NG OFA PERMIT DOES NOT PRESUME T/GIVE AU�THOR�TY TO/VIOLATE OR CANCE�HE PROVISIONS�OFANYOTHER <br /> STATE OR LOC.4L LA lN REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTR(/CT/ON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF 7HIS PROPERTY TO PERFORM THE WORK FOA WNICN APPL/CATION IS MADE AND I COMPLY INITH TNE STATE <br /> CONTRACTORS iAW 18.27 RCW AND 296.200 WAC. <br /> /� <br /> ��=�" " � /C(���-'� � �i`7D —{�� FEE <br /> �— —a- <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �p�G4 -GS I <br />� <br />