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. ELECTI�":CAL PERMIT APF" ,ICATION <br /> CITY OF EVERETT PERfv11T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ~ 7CZ` �-(.�t.�L�f�rV) /�(�� X <br /> PROJECT ADDRESS <br /> �Q/'�V 5 1�Et iJ`l�� SJC�.S 4'F-Si loL7' i.l y��?1 V�N-��^ud+E'� 13C <br /> Owner Mail Address City Stste2ip Phone <br /> ��i�,�'l� <br /> Tenanl Mail Address City State2ip Phono <br /> D���'Ca�7 FLc�T-«� .i:�., C<�.K �m A�u��rvJ ;,,�{ <br /> Eleclrical Coniraclor Mail Address City StatefZip Phone <br /> �js�o � <br /> Stale License Number Contract Price of Work <br /> �'�a. <br /> Nroposed Use of Building Contacl Person (Plan Review) <br /> Description of Work to Be Dona: �1 F-�,,1 SEZ��Lti �� q.,,,va �;,L ��.� s�,y�v(� �� <br /> �TCLz f- (,, G 6�� <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 EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE rACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLF. <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 ACC[SSI6LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE R[ACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFE,�Y CERTlFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PFUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF INOAK WILL BE COMPLETED WHETHER SPEClFIEO HEREIN OR <br /> NOT, THE GRANTING OF A PERM11IT DOES NOT PFESUM1IE TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PFOVIS/ONS OF ANY OTHER <br /> STATF OR LOCAL I.AW REGULATING CONSTRUC710N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORlZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORh1 THE INORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L4W 18.27 RCW ND 296.200 AC. <br /> / `�' � � ) j� FEE <br /> Signalur � Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � .- � �/ �� �/ <br /> � ���� � <br />