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ELEC i RICAL PERMIT ANPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />� lL �o �r.�y /�vE <br />PROJECT ADDRESS <br />r��rai�r .6i{/Lj }�0 ,80.1�' 2= S�/ ,EU.u,�/! 9b'203 S�ZS" 25'7-093/ <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />State2lp <br />Stete2lp <br />Phone <br />Phone <br />�f� �iNT� /-"G.GLTi�iL c� i�v� <br />Electrical CoNractor Mail Address City Stare2ip Phone <br />/�1 � f�/N1i L D 0 3 N v"� <br />Stale License Number <br />Contract Price of Work <br />Proposed Use o( Building Contact Person (Plan Review) <br />DescriptionofWorkroBeDone: i�FL�/K� .C�',(�/J%//V{.� /�d/�1� <br />/- .z u o/} o i-1 .f.�/Z v/ C L <br />NOTE: 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 6EFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PIANS W ILL BE REVIEWED BY THIS OFFICE. <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 />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 />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES 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& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED TH/S APPLICATION AND KNOW THE SAME TO 6E TFUE AND CORRECT. ALL <br />PRGVISIONS OF LA WS AND ORDlNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEF SPECIFIED HEREIN OR <br />NOT, THE GRANTING GF A Pc'RMIT DOES NOT PRE.SUME TO GIVE AUiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOR/ZEO BY THE <br />OWNER OF THIS PROPER7V TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTFACTORS LAW 18.27 RCW AND 296.200 WAC. � <br />/D -z�l_p3 FEE 57 od <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �O 3(G /,1�0 <br />