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ELEC � r�ICAL PERMIT APr�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> Lo1S (.o � {�:, AJe <br /> PROJECT ADDRESS <br /> AI,L:,�. (AI!�. 7,oir, Co16,. Ave. �ir��`It WR qg2o� (42s)3xr-i2u3 <br /> Owner Mail Address L Ciry State/Zip Phony <br /> -- — — "� -� <br /> Tenanl Mail Address Ciry State2ip Phone <br /> M���e�� — — — ^ <br /> EleCirical Co tractor Mail Address City State2ip Phone <br /> State License Number Conlract Price of Work <br /> � l <br /> O�+�� z�X <br /> Proposed Use ol8uilding Contact Person (Plan Review) <br /> DescriptionofWarktoBeDone: =wil� �- ���i,c '� ,.M 0�- Ov'�"G-� i�� ,x,,.o�l-e� WT�F} �-C�4u�,q <br /> �,.� i;��.{ / � , � �-< +��, ;��. a .� �A.,S �,�����_ i�l (o.��„��,�1 Qu;� <br /> .�r«���L / IT� 1 �--�(+ — <br /> ON'�J��¢l �iti�ilQwJw��-n' i..-c.��.:.- �0�.1 � ivw�4). �c�-1�++1 (�^� �u�M4t� T �J v �.� J.� r <br /> `rr^V1.- (UNv C.UCit���J �— —� Qµp-a� 6V �Gt,"`�✓) '!-d i.Yllh� �oX rLS <br /> iLCC��ti�. ` � ' <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 JOBS MUST SHOW THE STAT[ <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACIUTIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. I�I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM I <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 NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ! HEREHY CERT/FY THAT 1 HAVE READ AND EXAMINF.D THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDlNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANT/NG OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. THAT 1 AM AUTHORlZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WOFK FOR WNICH APPLICATION IS M11ADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> �� _ ` <br /> /� � (��Q��3 FEE <br /> � � <br /> Signature Date <br /> �DE81T&CREDIT CARDS ARE NOT ACCEPTED �����g —�� � <br /> �� <br />� � <br />