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ELECT`�sICAL PERIIlIIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��G 4 /3 I2L:A ln f•v�[�� y�l-J� <br /> PROJECT ADDRESS � y <br /> �}�, i'/Li /cF�G C3ito�v ��Y Iz�IIF{t!.'Tr G�, .�. ��"J�ol �16.s <br /> Owner Meil Address City StetelZip Phone <br /> Tenanl Mail Address City Stete ip Phse � <br /> �1�L�-/�.�r.�� �xI 3L�1 �Cv/���7 A-v �I��ck,�l� 7F.�Q y�«?s_ <br /> Electrical CoNractor Mail Address City State2lp Phone <br /> �K��a ,�� ss iy � c.� <br /> State License Number Contract Price of Work <br /> L e,�+M/��1 �/�l _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Woric to Be Done: I�AfT/I�L /�D/A//f�t /��LG !�J,l G�� ����lU� <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 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 AC:CESSIBLE 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 E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBL.E 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 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TC BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFAN7ING OF A PERMl7 DOES NOT PFESUME TO GIVE AUTHOFI7Y TO VIOL4TE OF CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEAFORM THE WOAK FOR WF11CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � �' FEE y? o� <br /> 0 <br /> Sipneture Dat <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �C/d� -�� � <br />