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ELECTI,�CAL P�RMIT APF�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �'��( �U sLf y�`c.p.,. w'-'� <br /> PROJECT ADDRESS <br /> S�,,. �cS7 I t��,�q 4�`1 �; rCY.� �u-� �- �--�� 36v-77�-Y`ts-� <br /> Owner dail Address City StatelZip Phone <br /> Su��e>�c��,.�.�� �(�'2� .Eu��r��ti�-�y.(z�� �.�- 36�- >7.2- Y�S^7 <br /> Tenanl Mad Address City State2ip Phone <br /> 1�-� Af'S��' ti� f�.����5�ti �� �`� ����f�t I��,.�((/���•�l� �f�2�3 36o-yzY�r�s <br /> EleclriCal Contra or Mail A ress City State2ip Phone <br /> 1(Vle�-z1� Sc��2.c �( ��� <br /> Slale License Num�er Contract Price of Work <br /> ��n`"� �,�� �c�� `- `-�C — <br /> Proposed Use ot Buildi g Contact Person (Plan Review) <br /> Description of Work to Be Done: ��5��✓�� l �^''``-"'` ���� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPFOVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED 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 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 /> l HEREBY CERTIFY THAT I HAVE READ P.ND EXAMINED THIS APPL/CA710N AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND ORO/NANCES GOVERNING THIS TYPE OF WOftK WILL 6E COMPLETED WHETHER SPECIFIED HEREIIV OR <br /> NOT, THE GFANrING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> S'(ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR 6VHfCN APPLICATION IS MADE AND / COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> �� � U r V ' �J FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �G`LG� `��' <br />