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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />9423 Evice�2ee,n�'✓� � £ve,�e,tt�, w0..9s2otl <br />PROJECT ADDRESS <br />owner <br />Tenant <br />3 1 �' �v�S. <br />Mail Address <br />Mail Address <br />`)2'7 S. �Jlri"' �F. <br />Mail Address <br />}lF,.t�Nz �S! sZ -C-�c.p. y -q - ?_a�y <br />State License Number <br />� n� Q <br />Proposed Use of Building <br />City <br />City <br />�y2s� <br />8?Cv -I 1031 <br />Slate2ip Phone <br />Stale2p <br />StalelZip Phone <br />� � �G� 00 <br />Contract rice of Work <br />Contact Person (Plan Review) <br />DescriptionofWorktoBeDone: mp�U�C�c�c�2 �— IXtiS ��-0 �I� 6n2 ��L.�/l�t.%�U <br />��l1un.;., ���� w�,u � � , <br />NOTE: PLANS FOR ELEC;TRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED Bl' THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-06-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELFCTRICAL AND C0�IMUNICATIONC 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 OTH:R CONTROL RECEPTHCLES AND OTHER OPERABLE EQUIPNENT WITHIN <br />ACCESSIBLE SPACES OR AL.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF V��.4C 51-20 S[C. 3106(b�l E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFy THAT I HAVE READ AND IXAMINED 7HIS APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT. ALL <br />PROV/SIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERAf1T DOES flOT PRESUME TO GIVE AU7HORITY T0 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEAFORMANCE Or' CONSTRUCTlON. THAT I AM AUTHORIZCD BY THE OWNER OF <br />THIS PROPERTY TO PERFORM TN.E WORK FOR WHICN APPLICATION IS MADc AND 1 COh1PLY WITH TNE STATE CONTRACTORS LAW 78.27 <br />RCW AND 296.200 WAC. <br />FEE I <br />-1 <br />G �'a3-D/.3 <br />