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ELECT;�ICAL PERMIT APF'" .ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 I <br /> �_ <br /> /.2 2 .2- /08'4 r.��J <br /> PROJECT ADDRESS <br /> F�o� �o,N,- �/"�,U.� i��2 ,��,y sys � E.25N w,� y��- <br /> a q�,roy �r�-sroo <br /> Owner Mail Address , Ciry Stale2ip Phone <br /> ��� <br /> Tenant � Mail Address City State2ip Phone <br /> y�S <br /> U�u�Teo Es�cj.e�e o�; .�.?oi SoFTN 1��vf Eve�,cc� tv9 9�zo3 tsz• 9si/ <br /> Eleclrical Contractor Mail Address City Slate2ip Phone <br /> L/,(//TEEC i7Grj(, �j�p� <br /> State License Number Contract Price of Work <br /> T.e�.r.�7rod �o�r,,.o,�.�1 S_<,e�.« <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /Qp�iy� �,e�/,�tc rE,Oj3T7,�, �1,Q,�i4.1Tiv«/� <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 /> AFPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE AEVIEWED BY THIS OFFICE. <br /> NOTE: WIRING I'J 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 ROU?ES 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE flOUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> FANGES OF WAC 51-?_0 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CERTIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. ALL <br /> PrOV1510NS OF I.7W5 AND ORDINANCES GOVERNINC THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPEC/FIED HEFEIN OR <br /> NOT. THE GRANTING OF A PER�dIT DOES NOT PR�SUhIE 70 GIVE AUTHORIT}•TO VIOLATE OR CANCEL THE PROV/SIONS OF ANY OTHEF <br /> STA7E OF LOCAL LAW AEGUWTING CONSTF.UCTION OR THE PEFFORMAN(:E OF CONSTRUCT/ON. THAT I AM AUTHOA/ZED BY THE <br /> OW�JER OF 7HI5 PFOPEATY TO PERFORM THE WORK FOR WHICF.' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7RACTORS LAW 1827 RCW AfJD 296.200 WAC. <br /> FEE <br /> Signature Date <br /> ELECAP�RE4 81200�) <br /> �C7y c� � C,Y U <br />