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ELEG�. RICAL PERMIT A e�LICATION I!, <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR uTREET, EVERETT, WA 98201 I <br /> 425-257-8810 - FAX 425-257-8857 I <br /> Sl� �'��,s/hv��5'7,`_ <br /> PROJECT ADDRESS I <br /> a� a f �''r��-Q ' <br /> Owner Mell Atldresa Clty StetelLip Phone '� <br /> t I� <br /> Tenant CMell Addrees Clry StetelZip phone � <br /> ��4 S�hV/C.�S � <br /> Electdcal Contractor Mell Addreae Clty Stele2lp Phone �i <br /> State Licenae Number CoNrect Pdce of Work li, <br /> Proposed Uee ol Building Contect Peraon (Plan Review) I� <br /> ^y- / � /�- / / <br /> Deacriptlon ui Work tr�Be Done: �j/yjm�f.� �/' ` i�Q�/�jY/ — //�/CGI�P y' �'U y,G v/� I <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIUTIES UTILIZING STATE FUNDS MUST BE II <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 I <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. I <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS,MC OR AC CABLE. I <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND CUMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TAAVEL 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 ANO OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3706(b)4 E &F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHE7HER SPECIFIED HEHEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIDLATE OH CANCEL THE PAOVISIONS OF ANY 07HEq <br /> STATE Ofi LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOHN FOR WHICH ,7PPLICATION IS MAOE AND ! COMPLY WITH THE S7AJE <br /> CONTRACTOFS LAW 19.27 RCW AND 296.200 WAC. <br /> � '� � FEE <br /> Signature Dete <br /> DEBIT R CREDIT CARDS ARE NOT ACCEPTED E�/6-118" <br />