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ELEC � RICAL PERMIT A� r�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 3r � C�Pu; �aK c� <br /> PROJECT ADDRESS <br /> ���� � I aha 1� s� �,-e 9�� � �S� —y � '�� <br /> Owner Mail Addre City StetelZlp phpne <br /> Tenenl Mail AdCrese City State2lp Phone <br /> r1vl�H��„ 3<0 ( �:�i.P.c.cSl.Qc�r L,�c�r.��l� �'��l o25'�i- 2rG( <br /> Elecina�l Conirector Mall Atldrese Ciry Stete/Zlp Phone <br /> ��X�i4 F(5'S l4 z L E� <br /> State Llcenae Number Contract Pdce ol Work <br /> l 1 C,SL C�.�N C�C <br /> Proposed Use of Building Contect Paraon (Plen Review) <br /> Description ol W ork to Be Done: ` V] f R �� �= t 7� T 1`1 P[� b�[I oS' <br /> PJOTE: 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 CAAE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />' NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IIJ 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 151NCHES ABOVE THE FLOOR, WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RE�EPTACLES AND 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. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CEFTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PFOVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS 7YPE OF WORK WILL BE COMPLETE� WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTINQ OF A PERM/T DOES N07 PRESUM11E TO GIVE AUTHORITY TO'�IOLATE OR CANCEL THE PROVISIONS OF ANY O1 HER <br /> STATE OR LOCAL LAW FEGULATING CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WURK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.D RCW AND 296.200 WAC. <br /> �, / �' � l G FEE 35�� <br /> sipnature� aete <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED J <br /> � d 3/a �S <br />