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ELEG'� . RICAL PERMIT A� aLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 88201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �33 .Z Ceo�c� <br /> PROJECT ADDRESS <br /> ���lH��� f„��,. f� `.��.�� [r/A <br /> Owner�y'.�G n f� Meil Adtlresa Clty State2ip Phone <br /> �, i`p �,•<4 �Y7i� ��a �/ �6q �/3d� / Q/.�..-.��'� (�//}' !''!dS?��/ <br /> Tenent Meil Address Ciry State/Zlp Phona <br /> 3`'� <br /> /'��ssiv, / /i/r��r,� z�� /'c!� �Y�i /�;/.�yh� 6✓� 9�1�1 va� -6�iZ <br /> Electrical Contrector Meil Address City � Sta�elZip Phone <br /> /�r2 0�%.��'0 7) .tA � 0,0� _.. <br /> tate License Number Contract Phce of Work <br /> ,_,1,,., .� /,.;Ls e <br /> Proposed Use ol Building Contact Peraon (Plen Review) <br /> Descdption ol Work to Be Done: /�Pc� �[' �`O�ai+G �/i c� � t I H '�°�✓ C-lc'���>I`�./ <br /> C � �'C a.-. � . t—� ��r C � /'/t�Cy C✓I 5 � �n�Y C7��i! P./ �t���@.t <br /> 7 7 i s <br /> f� ������ e ,� �f L , �i t�1 ,� clo�� 6�� �� <br /> , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE i <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER II <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DVt'ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. ' <br /> HANDICAPPED ACCESSIBILITY: cLECTRICAL A�JD 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 CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGE� OF WAC 51•20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED 7HIS APPUCATION ANO KNOW THF SAME �(O BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF LA WS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEA SPEGIFIED HEFEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEATY TO PERFORM THE WORK FOfl WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTFACTORS LAW iH.27 RCW AND 296200 WAC. <br /> L�GC-/r" �c.'"'r.�1� ���� ��-C�3 FEE �I <br /> Signelure Dale I <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �d 3G& _p�� '� <br />