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��1 <br /> ELECTkICAL PERMIT APF�ICAT�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET, WA 98201 <br /> 425-257-8810 - F.4X 425-257�8857 <br /> y 7� � �Z/,��G�z��-.� zv,�� <br /> PROJC::T ADDRESS <br /> Owner Mail Address City a'atelZip Phone <br /> Tenant Mail Address City State2ip Phone <br /> �Ni i-�G y2 ��LL'�-l�iG %' ZLf�<'J^�3��� �� /!/l l�f�iL�-��. �,(/I'r- G'J�Z��r 3��� �>tisy���`l <br /> EleCtrical CoNraclor Mail Add�ess Ciry Slate2ip Phone <br /> Stale License Number C��trac� Price of Work <br /> Proposed Use of Building ',ontact Person (Plan Review) <br /> Description of Work to Be Done: -p69 �, ' {_ <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 PLAPJS BEFORE CITY OF EVERET"f PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONA.L FACILITIES AND ALL HEALTH CAHE FACILI71E5 PLANS WI�L BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWF.LLINGS IS RE�UIRED 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 ��11NIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTHOL RECEPTACLES AND OTH�R OPERAB!E EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCES°IBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F PND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FY THAT 1 HAVE READ AND EXAh;INED THIS APPL/CATfON AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TVPE OF WORK WlLL BE COMPLETED V✓HETHER SPECIFIED HERE/N OF <br /> NOT, THE GRANTIN(�� OF A PERMIT DOES NOT PAESUME TO GIVE AU i HORITY TO VIDLATE OR CANCEL THE PROVISIONS OFANY OTHEA <br /> STATE Ofi LOCAL LAW REGULATING CONSTRUCTION OA THE PEAFORMANCE OF CONSTRUCT/ON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM1I THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY W/TH THE STATE <br /> CONTRAC�QRS LAW 7 �27 RCW AND 296.200 WAC. <br /> / / <br /> / � G/ FEE <br /> v�'t- P1 � <br /> Signature Date <br /> DEBIT&CREDIT CAR�S ARE NOT ACCEPTED .E D'{G�-GZZ <br />