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ELECT�ICAL PERMIT APr LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3 / 5 G= � �, 5..,o i�� <br /> PROJECT ADDRESS <br /> 7 — // s�r �c <br /> Owne� Meil Address Clry Stete2lp phone <br /> 7-// S{� . < JIS� L_ C4JiyU /1'�a L-t�c- � �-/ <br /> Tenant Meil Address City Sta�e2lp phone <br /> �n � of c� ��rc }�i� /3r�j'`�5— /�rc�o. il� C3ow L✓�+s� 360 75`7 /�[�U <br /> El6ctrical Coniractor Mail Address City Slete2ip Phone <br /> .��Iiv T�-1.1 y b' i.�� — / d�U <br /> :ilate license Number Contract Price of Work <br /> � � <br /> Propos��s ol Building Contact Person (Plen Feview) <br /> Description of Work to Be Done: __ ,Qc .�,o C/�� 3 dv.,� (�c r c� � ty�r c h c t,i <br /> 3c�v.• � �rrr2C/ /'r�. c�. �rl 04c' .9PW / ? oV Zu .9 G � rc :� /� <br /> �: ,>�;/ c ., < ,�r •✓ .�<> f �� ��t/P � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING 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 EVEAETT PERMIT WILL BE ISSUED. WAC 2yo'-a6•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 ?0 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 75 INCHES ABOVE THE rLOOR. WAC 51-20 SE�. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTFOL RECEPTACLES AND OTHER OPEFABLE EQUIPMENT WITHIN <br /> ACCESSIB�E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3706(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFE9Y CE.9T/FY 7HAT I HAVE REAO AND EXAMINED THIS APPUCA710N AND KNOW THE SAME TO BE TRUE AND COFRECT ALL <br /> PFOVISIONS OF LAWS ANO OFDINANCES GOVFRNING THIS TYPE OF WORK WILL BE COMPLETED WHE7HER SPECIFI[D HEREIN OR <br /> N07. THE GRANTING OF A PEFh11T DOES NOT PRESUMf TO GIVE AU7HORITY TO VIOL4TE OF CANCf1 THE PROVISIONS OF ANY OTHER <br /> STATE OR LCCAL LAW REGUL4TING CONSTFUCTION OR THF PEFFORMANCE OF CONSTqUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE4 OF iH15 PpOPERTY TO PERFORM 7HE WORK FOR WHICH APPLICATION IS MADE ANO 1 COMPLY WITH THE STATE <br /> CONTRACTCFS L4W/8.27 RCW AND 296200 WAC. <br /> � / �� �'� ��� � 5 7 S�U7 FEE <br /> S�gnature Oete <br /> ELECAPIAEVB.700q ��f�Ck�` � �� <br />