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ELE fRICAL PERMI A�-PLICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> c� r �.,.J � �1 �/ �J <br /> I�3/,./ � , �6�P1�7�CH� l/`l_ / C✓P✓C Mr �OoQD/ <br /> � <br /> P OJECT/ADDRESS � �1 <br /> r.✓ �Fin7n ,���'D 33 ��� �� ' !.i �3�I/nnkCo/ G+�/l ���-�7 �i�:��y�3� <br /> Owner Mail F.�dress City State/Zip Phone <br /> C <br /> Tenant Mail Address City Stete2ip Fhone <br /> 6��� <br /> EleCttical ContraCtor Mail Address City State2ip Phone <br /> State License Number Contrac:Prico of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: �'/Q/,JCY /���e <br /> ---r <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 BEFORE CITY OF EVERETT PERio;!T WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITiES PLP.NS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS 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 TRAVE� 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 WITHI�! <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE NEACH <br /> RANGES OF WAC 51-20 S�C. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREr,T. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMFLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRATJTING OF A PERMIT D�ES NOT PRESUME TO GIVE,a UTHORITY TO VIOLATE OR CANCEL THE PROVI,^,fONS OF ANY OTHEfi <br /> STATE OR LOCAL LAW.4EGULATING CONS'RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTI' TO PERFORM THE WORK FOR WHICH APPLICATIDN IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> O�eJ �i�- 3_ /7-p 3 FEE <br /> SignaWro Date /`��� <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �'� 3d S `� <br />