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ELECT ICAL 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 /> �2�� �'i�s�iT�� <br /> PROJECT ADGRESS <br /> Ja.►rtn Q.��tio� UlI z l�sc��'',�e- �+e� /.t'.1:r/r� <br /> Owner Mail Address Ciry StatefLip Phone <br /> �� h'S R'�06�� <br /> Tenant Mail Address City � State2ip Phone <br /> �,�t5 ��ec7v��c.G�^�- Z�cy /3zU06/�Esc s�,a6ra�.t�,rh GQ-��c �'ZSD 1{2S'-77Y7//¢ <br /> ElectriCal CoMractor Mail Address City StatefLip Phone <br /> {2��1��G.��kG3�(�5�7 ��do <br /> State License Number Contract Price of Work <br /> �����/ ��� l.e� (���� <br /> Proposed Use o(9uiiding Contact P rson (Plan Review) <br /> Description of Work to Be Done: Q�uCJ�{1 l 11 4-�S�(S�i✓� �/CD/Gi`�l J �d�/MGW3/ 7°'� <br /> L( Ut�1, d .+� <br /> I�ni � <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 CAFiE FACILITIES PLANS W ILL BE REVIEWED 9Y THIS OFFICE. <br /> NOTE: WIRING 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 CONTROI RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 /> I HEREBY C.EATIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROViSIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHEi HER SPECIFIED HEREIN OR <br /> NOT, THE GRANT�VG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VfOLATE OR CANCEL THE PROVISfONS OF ANY OTHER <br /> STATE OR LOCA1 LAW REGULATING CONSTAUCTION OR THE PERFORM1fANCE OF CONSTRUCTION. THAT 1 AM AUTHOAIZED 9Y THE <br /> OWNER OF THI.; PROPERTY TO PERFOR�L1 THE WORK FOR WHICH APPLICATION IS MA�E AND 1 COMPLY WITH TNE STATE <br /> CONTRACTOAS LAW 18.27 RCIY AND 296.200 WAC. r _ - <br /> ����. <br /> ,� i <br /> � ��)L�t��� �p � FEE <br /> Signet e te <br /> ELEC'.2(REV62001) E � I I O'CJ��,J <br />