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ELECT CAL PERMIT AP ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �a Is c��u�m���� A��� <br /> PROJECT ADDRESS <br /> K�Ack b�os, ��1�� c�� �1��E NE.- Evev���- �'� 9��oS �{2��3q1 -�36d <br /> Owner Meil Address Ciry Stete2ip Phone <br /> �w�e <br /> Tenant Mail Address Ciry State2lp Phone <br /> �������- E1��;nc �2�3 2b►S-�T s-�nW�o� � 9�z�a 3 ��39-�'j3/ <br /> Electrical Conlraclor Mail Address Clty StetefLip 'hone <br /> ur�n�e �,� yl m 3 <br /> State Licens� Number Contrect Price o(Work <br /> Proposed Use of Building Contact Person (Plen Review) <br /> Description of Work to Be Done: 1�(m V 1���U..��� <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 WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NO�-DWELLINGS IS REQUIRED TO BE IN HACEWAYS, MC OR AC CABLE. <br /> HADiDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WiTHiN ACCESSIBLE SPACES OR ALCNG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOGR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER COPJTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCF_SSIBLE ROUTES OF TRAVEL SHALL BE MOUPlTED 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 CERTIFV THAT I HAVE AEAD AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO Bc 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 REGULATING CONSTRUCTIDN OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER C� THIS PROPEATY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 2 6200 WAC. - <br /> \� � -���•-(� FEE <br /> \ <br /> � Sign ture Date <br /> DEBIT�&'6REDIT CARDS ARE NOT ACCEPTED E Gy cc�-((�z <br />