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ELECI r�ICAL P�RMIT APr-LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> tJ 7� � �i'�ailc�9c �. ,�.�P ��a �FFh <br /> PROJECT ADDRESS <br /> . �11' ( H 4C{ <br /> Owne� Mall Addresc City State2ip Phone <br /> Tenant Mall Aetlress City State2ip Phone <br /> /r NaW �CN'lof/Cft��� �/tCFYJC f7c'.3G.r!(yWOCO /�d /1i i�l14/��l �4 Jiy��J ��2J-35U�3j� <br /> Eleclrical Contractor Mail Address Ciry � State2ip Phone <br /> ,���,.��-o � �y�s�y �a <br /> State License Number Contract Price of Work <br /> i� i I I boc. r� <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> e. ���,r�d �+ / / / <br /> Description of W ork to Be Done: ,Sr.- „;cr -f�c� L% f�r f i,;� � a u��e'F <br /> NOTE: PLANS FUR 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 HEAITH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•pW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, �AC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBI.E 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 GTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BF 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 HEAE6Y CERrIFY THAT 1 HAVE READ AND EXAMINED THIS APPIICATION AND ICNOW THE SAME TO BE TRUr AND COFRECT. ALL <br /> FRO"'SIONS OF L4WS AND OROINAN_^ES GOVERNING THIS TYFE OF WORK 11'ILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUh1E TO GIVE AUTHORITY TO V/OLATE OF CA,NCEL THE PROVISIONS OF ANl'OTHER <br /> STATE OR LOCAL LAW REGUL4T/NG CONSTFUCTION OR rHE PERFORMANCE OF CONSTRUC7/0N. JHAT 1 AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPFRTY TO PERFO�4 . THE LVORK FOR WN.ICH AFPLICATION IS MADE AND I COMPLY W1TH THE StATE <br /> CONTRACTORS LAW 78.2i RCW AN�.200 AC. <br /> /•--�' V �-�� S '�—d� .�EE <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED F o3cx-o1�j <br />