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ELEC ICAL PERMIT AP� �ICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 9A201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> --�D �J I� EvERG°EFN �,/�`I <br /> PROJF�CT ADDRESS <br /> 1 <br /> /t+-aNE Ll4Nl" �0415 f_v���e��a��n �✓� r'vf,efr� l i%� <br /> Owner Mail Address City State2ip Phone <br /> —�Jc..,.-� <br /> Tenant Mail Address Ciry State/Zip Phone <br /> OV>>E✓LS f�Cr_"[T/ZIC /�D )1s.2 �'vcQ( � A 'f'fs?D3 �l.�s'a5'-�107 <br /> Eleclrical Contractor Mail Address City State2ip Phone <br /> Rot��-�Eca.3� P� <br /> State License Number Contract Price oF Work <br /> C'� ��. /_1�,�}LE/1.SH i r� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of 1Nork to Be Done: � �=/y� p•��q y�� y CO�� Tl� L� C — /OA� �t k U«f= <br /> --�-// -' <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 PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES.4ND ALL HEALTH CARE FACILITIES PLANS 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 MINIMIJM <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 CERT/FY THAT I HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORD/NANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF7 CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 27 RCW AND 296200 WAC. <br /> /n 2G b� FEE �o <br /> Signatur Date � �`— <br /> DEBIT&CREDIT CAqDS ARE NOT ACCEPTED [� py�0-f L� <br />