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ELEC ICAL PERMIT AP LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> .� �9� � 4 ��o.a;� <br /> �ROJECT ADDRESS <br /> o�r�(�;�\�s��,�� \ao3o-Sa"a A..�GSE �eK¢� �. a�easB �as�s.1- aa�i <br /> Owner Mell Ad�res� City Slate/Zip Phone <br /> Tenant Meil Address City StatelLip Phone <br /> ynYt;�;; F�.� +� � ���� �t��� A,���E L�,�k.uens �nia �Q4Z� ���'1��0 <br /> Electrical Contractor Meil Address City Slate2ip Phone <br /> ��d�2...'l� P �q-I�`lYl�^r - ��i1ci.�O <br /> State License Number Contract Prica of Work <br /> S�-cZ. ��Inn ��,r�1s �z�,�a-Zz�o <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work ta Be Done: �Z.�� A �n--v��-t- � �j\c i Y1C� �o��.j-� SF SF�, <br /> �-�}.-C�� <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 AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING 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 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 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 /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMI7'DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTFUCTION OR THE PERFORMANCE OF CONSTqUCT10N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PAOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOAS L4W 1827 RCW AND 296200 WAC. ' <br /> � \�- �'a"� �C� � ��� �� FEE <br /> �..c.,�. <br /> Signature Date <br /> UEBIT&CREDIT CARDS ARE NOT ACCEPTED �0`l(O-0'� <br />