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Hi-le Elect <br />425-672-8716 p.l <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 - FAX 425-257-8857 <br />30l Y� �� �l f'/• <br />PROJECT ADDRESS <br />T, ,.•_ _f� 3oir ���/fI' E��f/ � (yzslss5-ys/� <br />Owner Molt AtlAress City Sta�e2ip Phone <br />Tenan� 1.Inli Adtlress Clty Stato2ip Phone <br />Elect�icel <br />�/�Lo E6f s671.Q <br />Stote Llcenso Numbor <br />iz�Z� 9'K A�.c �✓. <br />Mell Atltlross <br />P,-,�.,�v �Z�s,:l�•�e <br />Propased Uso o ulltling <br />Ooscription of Work to Oe Done: �"' <br />dllefe r <br />Lity �y <br />i������'� <br />Stfllo/Llp <br />Conlrnct Prico ol Worlc <br />Contact Poreon (Alan Review) <br />a.. C+t /. <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST k3E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W�TH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CIT'! OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS RC-QUiRED TO BE IN RACEWAYS, MC OR AC CABLE <br />11ANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALO�IG 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 CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACC[SSIBLE SPACES OR ALONG ACCESSIBLE Fi0UTE5 OF TRAVE� SHALL BE MOUNTED WITHIN THG F;EACH <br />HANGES OF WAC 51-20 SGC. 3� 06(b�4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I �IEREHY CEPTIFI 7HAT 1 HAVf READ AND E.YAM/NEO THlS APPL/CATION AND KNOW THE SAME TO BE 7RUE AND CORRECL ALL <br />PI70VIS�ONS O�T LI WS i1ND ORD/NANCES GOVfRNfNG TMIS rl'PE OF N'OFK WlLL 6E COMPLETED WHE7HEH SPEClFIED HEREIN OR <br />NOT, TNE GH/N7iNti OF A PERMI7 DOES NCT PRESU�.4E TO GNE AUTHOF�iI' i0 VIO/ AT[ Ofi CANCEL TME PROVIS/ONS OF ANYOTHER <br />57ATE OF LOCAL Ll vti REGUL4TING CONSTRUCTION ON TIIE PEliFOFMANCE OF CONSTRUCT/ON. THAT / AM AUTFIORIZED BY TNE <br />CWNER OF THIS P��Oh�RN TO PEFFCR�d THC- lt'^FH FOR WHICN APPLICAiION fS MAOE .iND 1 COAIPLY W/TH THE S7ATE <br />CONiRACTORS U71Y L72i HCW ANO 290.<'00 IVAC. � <br />SiB�oture Oaio <br />DEBIT 4 CREDIT CARDS ARE NOT ACCEPTED <br />FEE <br />��� - <br />C— �� Il-/� <br />