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� <br />� <br />ELECT <br />.ICAL PERMIT AP �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />,� � �� Q !� u /� � W�•/ <br />PROJECT ADDRESS <br />.��-s,� 7�ho,��s �2 G� 5r,��any KNY /�'r�.cins�`c�, �„� 4�a�� 3`a v�r�r�a <br />Owner <br />M;il Address <br />Ciry <br />State2ip <br />Phone <br />/uX Covn7�l�y d2>�M- �S�U'�a�ay�+ /<v�rr�l' f.Y,c l8�to� �/ar ��x 138r I <br />Tenant <br />Mail Address <br />City <br />SWte2ip <br />Phone <br />�/��r�S�Ptn /' ��c� �0 �6� /aC^/ F_vPr*m (.(�/,J J��6 �IJJ' 33i/�3�18� <br />Electrical Contractor Mail Atldress City Stata2lp Phone <br />l.✓�S'�ePlj a9_S/zc. Sao.Q'0' <br />State Licer,se Numher Contract Price of Work <br />Proposed Use of Buiiding <br />Description o1 Work to Be Done: �C � C2 � C �T/1 f P/'PV <br />Conlact Person (Plan Review) <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 01= EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL B[ REVIEWED BY THIS O�FICE. <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 SPACF.S OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOQR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND''OTHER CONTROL RECEPTACLES AND OTHER OFERABLE EQUIPMENT WITHIN <br />ACCF.SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEP.EBY CEATIFY THAT 1 HAVE READ AND EXAMINED THIS 4PPLICATION AND KNOW THE SAME TO BE TRUE ANO CORFECT. ALL <br />PROVISIONS OF L4 W5 ANO ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br />NOT. 7HE GFANTING CF A PERMIT DOES NOT PRESUME TO Gll'c AUTHORlTY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA7�E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFFORM 7HE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOFS LAW 78.27 RCW AND 296.200 N.'AC. <br />Signature <br />ELECAF�REV 81200�) <br />� 9� /o- a� <br />Date <br />Fo�a4-aas <br />FEE <br />