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ELECT r{IGAL PERMIT APt-LICATION <br />CITY OF EVERETT PERMI`T SERVICES <br />3200 CEGAR STREET, EVERETT, WA 98201 3-��-o � <br />425-257-8810 - FAX 425-257-8857 <br />��o ya�-�c5 <br />1 �o l �� �L.JL�%� U.; �i <br />PROJECT ADDRESS <br />�P.-� ��- �z� ss� r�Qw�-n sT . L� , c� ��� 1 <br />Owner <br />Mail Address <br />City <br />State2lp <br />Phone <br />(� � J � ✓zo-� � ( f*� �7 n-.sS S <br />Tenant Mail Address Ciry State�Lip Phone <br />�--��� �-T Z?3� c�uD��_��.5. S�-f= ��I�I �'6,�� � <br />Elecirical Conlractor Mail Address City Slate/Zip Phone <br />'�J � C r'r7_�� � � � � � `�i� � 2p0 ' �— <br />State License Number Contracl Price of 1^/ork <br />Proposed Use ot Buildin; <br />Description of Work to Be Done: <br />� S <br />Contact Person (Plan Revie�+7 <br />� C7i^.� C Gt)�-LL <br />�T/L S o.� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APf'ROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BG ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILII'IEo A��D ALL HEALTH CARE FAGILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />IJOTE: W IRING IN NON•DW �LLINGS IS REQU!�ED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HAPJDICAPPED ACCESSIBILITI': ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BF MOUNTED A MINIMUM <br />OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIROfJMENT,AL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCES�IBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF VJAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY i.ERTIFY THAT 1 HAVE READ AND EXA�9INED THiS APPLICATiON AND KNOW THE SAM11E TO BE TFUE ANO CORRECT. ALL <br />PROVISIONS OF LAIh'S AND ORDlNANCES GOVEANING 7HIS TYPE OF tYOFK WILL BE COMPLETED WHETHER SPEGFIED HE.4EIN OR <br />NOT, THE GRANTING OFA PEAMIT OOES NOr PFESUh4E TO GIVE AUTHCRITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW FE�UL;ITING CONSTFUCTION GF THE PEFFOR�I1ANCE OF CONS7RUC7/0N. THAT I AG1 AUTHORIZED BY THE <br />O:�VNER OF THIS PROPER7Y TO PERFOFM THE WOAK FOR WHICH APPLICATION IS MAOE AND 1 CO7dPLY WITH THE SiATE <br />CONT RACTORS LA FY 18.27 RCW AND 296200 LYAC. <br />4j �� (� • p L�- FE E <br />Date <br />�� — <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � / �, •� - � / �) <br />f <br />