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�, ELEO(RICAL PERMII� AF�LICATION <br />,^/�_ CITY OF EVERETT PERNIT SERVICES <br />�'�"'��rr 3200 CEDAR STREET, EVER'tTT, WA 98201 <br />425-257-8810 - FAX 4?5-257-8857 <br />�I�S v;ZU�w� <br />PROJECT ADDRESS <br />��� LI�IAa � U� . . � — <br />Owner <br />Tenant <br />S/Lt <br />Electrical <br />Mail Address <br />M2il Address <br />� `�G� <br />Mail Address <br />S�r��� ��— <br />State license Number <br />�O,Mit'1G.Z�if.� c9�F�L.;� <br />Praposed Use of Building <br />Description ol Work to Be Done: <br />Ciry <br />City <br />� L <br />Ciry <br />Stete2ip <br />Stete(Zip <br />Phone <br />Phone <br />Z� <br />�State2ip �hone <br />� ���� , L� <br />Contr ct Pnce of Work <br />SiAc�( � z�%3 y25/�7�-�� <br />Contact Person (Plan Review) <br />/��t'�' <br />.� - zJv ,9v�� r� ���-;zs ,. s - ,z5�v r�U—��s �,�� l'.,,2c� ��� <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 EVERET7 PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE FEVIEW ED 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 CONTFOL RECEPTACLES AND OTHER OPERABLE EflUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG .4CCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOF. <br />I HEFEBY CERTIFY THAT I HAVE AEAD AND EXAM/NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PFOVISIONS UF Uill'Ci AND ORDINANCES GOVEANING 7HIS TYPE OF WOFK WILL DE COMPLETED WHETHER SPEGFIED HEFEIN OR <br />NOT, THE GFANT/Nu OF A PERMIT DOES NOT PRESUME TO GIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA iE OR LOCAL LAW REGULATING CONSTRUC i lON CA THE PERFOflMANGE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 7H/S PROAERTY TO PERFORM THE WOFK FOR WHICN APPLICAT/ON IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS L4W 7B.27 RCW AND 296.200 WAC. <br />z-�z-z�3 <br />Date <br />ELECAPIfiEV 81200q � D3 (�f �— dS � <br />FEE <br />s y, <br />���,' /!/—OI�Z� <br />