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ELECTI�CAL PER�VIIT APP4.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Ll b��i � v e � r�St.r� � c�,� a-'�- a o3 <br />PROJECT ADDRESS <br />� <br />� �.cP � . ��P �� � ��r� il <br />Owner <br />Mail Address <br />�✓t=. <br />City State2ip <br />�r��C�. C�o��� <br />�YaYv <br />Phone <br />Tenanl P,1ail Address �_ V,��ry State/Zip Phone <br />/ J <br />Ij/3'V L�on�S:nr- �Lt� � 1/1G �d` CCti'n�w, �.`� %S'o/j� Y.?s'-$�9•�'Yy <br />Eleclrical Contractor Mail Address City State2ip Phone <br />lia,-� l.c��� �i'1�k+4 <br />State License Number <br />Proposed Use ol Building <br />Description of �Nork to Be Done: <br />� <br />3cx�a � <br />Contraci Price ol Work <br />Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIcS UT:LIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH 3UCH 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 AND ALL HEALTH CARE FACILITIES PLAtJS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RcCEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A PAINIMUM <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 ACCESSIDLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE RFACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS TI�AN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CER7IfY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECL ALL <br />PROVISIDNS OF u7WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL 6E COMPLETED WHETHEF SPECIFIED HEAE/N OR <br />NOT, THE GRANTING OF A PERf✓11T DOES NOT FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER <br />SrATE OR LOCAL l.:1W REGULATING CONSTFUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 Afd AUTHORIZED BY THE <br />OWh'ER OF THIS PROPERTY TO PEAFORM THE WORK FOR INHICH APPLICATION IS MADE AND I COh1PLY WITH THE STA?E <br />CONTRACTORS L7W 18.27 FCW AND 296.200 WAC. <br />SignaWre <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />FEE <br />Eo�lo6-p�7 <br />