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ELECs� RICAL PERMIT AI-�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> zi 32 c1� �sr��ni sT1 <br /> PROJECT ADDRESS �2 S <br /> Nh �Bh � l-� CONSi � 132 H� (,I��/�ND �V WA� P��a/ zs"Z-TYS� <br /> Owner MallAtldress City Stele2lp Phone <br /> i <br /> Tenent Mall Addreas City Stata/Zlp Phone <br /> v� < � � ��� �«�rn� � c� �N � <br /> Electricai Contractor Mail Address City Stete2lp Phone <br /> MC � ir� �COo 3 �/ Q' <br /> Stete License Number Contract Price of Work <br /> s F�t <br /> Proposed Use ol Building Contact Person (P�en Raview) <br /> Descripiion of Work to Be Done: v.l I 2� ��� � F/Z <br /> ) ^ d1� /� U��' <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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46•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 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 CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND IJOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEC/FlED HEREIN OF <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME 70 GfVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 7HE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WOPK FOR INHICH APPLIfATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 19.27 RCW AND 296..00 WAC. <br /> s �� /��/ � /� ' 7-Oj FEESS. o� <br /> Signature Date <br />' DEBIT&CREDIT CARDS ARE NOT ACCEPTED �� • �� �_,�? -7 <br /> J <br />