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ELEC � RICAL PERMIT AE �LICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 <br /> �S� COI�� fJC� <br /> � <br /> PROJECT ADDRESS <br /> ��R� un �-t-e J 11'�e�l-���st ct��.�� �u-`c�f ?59-7 i�� <br /> Owner Mail Atldress City State2ip Phone <br /> J(-J(�'1k- <br /> Tenant Mail Address City Slato2ip Phono <br /> �GDI`� �'lc�`�r� �cJBb � /'�52 ��tJt1�c� �1,� �'v22� �7�2-�cyY� <br /> EleCtrical Contractor Mail Address City Slate2lp Phono <br /> �C7�1� � 27`�m o `�7GYJ "" <br /> Slate License Number Contract Prico of Work <br /> C�l�,c�<l� <br /> Proposed Use of Building Contact Person (Plan Reviow) <br /> Description ot Work to Be Done: L.f�� j`l/jS' �('� � �L�S ��Q��(` �eC..� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE S'iATt <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERM�T WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIOIJAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLIN��S IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATION5 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 /> ENVIRONA4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SH.4LL 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 /> � HEREBV CEAtIFY THAT 1 NAVE FEAD AND EXAh4WED THIS APPLfCATION AND KNOW ThE SAME TO BE TRUE AND COFRECL ALL <br /> PFOVISIONS OF lAWS AND ORDINANCES GOVERNING THIS 7YPE OF WOFK WILL 6E COMP.ETED WHETHEA SPEClFIED HEFEIN OF <br /> NOT. THE GRANTING OF A PEFM1117 DOES NOT PFESUM1IE TO GlVE AUTHOAITY TO V/OLiTE OH CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGULATINC CONSTFUCTION OR THE FEAFORMANCE OF CONSTRUCtION. THAT I AM AUTHORIZED 6Y THE <br /> U6YNER OF THIS PROAERTY TO PERFORM 7NE WORK FOR WHICH AFFLlCATION /S h1ADE AND I COMPLY LM17TH 7HE S7'ATE <br /> CONTRACTOPS LAW 18.27 RCW AND'196200 WAC. <br /> 4�' � `—�'��� FEE <br /> Signature Date <br /> DEBIT& CREDIT CAPDS ARE NOT ACCEPTELI �D 3��-��� <br />