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� <br /> ELEC ICAL PERMIT APr- LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STFiEET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> .�� � � cc�� 1 l�� /-� �' �ve��>� C�%'��- ��� � i <br /> PROJECT ADDRESS � 2 , �� <br /> I-,:1�(��• �:Ix� �`i,�,s�'�rz ���Nv�lr � . �. �'� l�' �'��� �L �°rc �� ��/�� %r,��� ; 1,jp� <br /> Owner Mail Address City State2ip Phone y�' �� <br /> ti � <br /> f- � � � C s��.� � <br /> Ten0t�1 Mail Address Cily � State2ip Phone <br /> -. <br /> �����-� <br /> Electrical Contractor Mail Address City State2ip Phone <br /> i <br /> ��� �����'". <br /> State License Number Contract Prioc of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: �i �/.� X v�11 G.�( <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUhDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANT� WITH SUCH J08S MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WI'_L BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPE� ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINI�v7UM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106;c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTAC.LES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES O� TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF 1"!AC 51-20 SEC. 3106(b)4 E & F AND NOT LE5S THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HFFEBY CC-RTIFY THAT! HAVE READ AND EXAh1WC-D TNIS .iP'=LICATlON AND KNOW THE SAME TO BE TRUE AND COFFECL ALL <br /> PROVISIONS OF LAWS AND OFDINANCES GOVEFNING THIS tl'�'E OF INOFK WILL dE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> �J07, THE GFANTING OF A PERMIT�DES NDT PRESUh4E TO GIVc AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS CF ANY OTHER <br /> S7ATE OR LOCAL LAW REGULATING CONSTFUC710N OR TY;c PEFFORMANCE OF CONSTRUCTIDN. THAT I AM AUTHOFIZED BY THE <br /> CIVNER OF THIS PFOPERTI' TO PERFORM THE WOFK FOR LYHICH APPLlCATION IS MADE AND / COMPLY WITH TNE 5TATE <br /> CONTRACTORS LiW 18.27 RCW AND 286.200 WAC. <br /> •-�`f"f/. /�C (� �' L �- �( - C'� FEE <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ��y ���;C� — � `> � <br />