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ELEC r�ICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 • FAX 425-257-8857 <br /> .�`� �( _� C lPl1P�Q L�C� Y-f�iP_ <br /> PROJECT ADDRESS <br /> �}�nf'r ��ciC�0.«QSC��ti 2 S 2 S C�Cva��,c� ��.� . E�,.�,r�H W� 9 �:ZOI �`1?f)�75�-`)SflOI� <br /> Owner Mail Address Clty Stele2ip Phone <br /> Tenant� Mell Address City Stete2ip Phone <br />' L �(J/t-C/'✓ <br /> Electrical Contraclor Meil Address Clry Stete2lp Phone <br /> State License Number CoNract Pdce of Work <br /> Proposed Use of Building Contect Person (Plen Review) <br /> Descdptlon of Work to Be Done: Ll�f ttc'LE �O 2 C•r: 19�in 1�, C.c P��2 c f� • W � !�l�:0 <br /> L 2 C• L1 C� v.'��c_�S <br /> NOTE: PLAN� 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•48-140. ALL OTHER <br /> EOUCATIONAL FACILITIES AND ALL HtALTH CARE FACILITIES PLANS WILL BE FEVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC C.4BLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> VJITHIN ACCESSIBLE SFACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLCOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHEF CONTROL RECEPTACLES AND OTNER OPERABLE EOUIPMEN7' WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTFD 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 /> 1 HEREBY CERTIFY THA7 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OF <br /> N07, THE GAANTING OF A PERM;i DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STA7E �R LOCAL LAW REGULATING CONSTRUC710N OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AU7HORIZED BY THE <br /> OW'Nc'R OF THIS PHOPERTY TO PERFORM THE WORH FUR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON7RACTORS LAIY I8.27 RCW AND 296300 WAC. <br /> , /� <br /> �//r7C;! �< <• Ct c.n 9� �.. �����.j FEE <br /> S�gnature Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � 6;Q't-o1°I <br />