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r <br /> ELEC i� RICAL PERMIT APr�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 93201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i i S r,� A�� <br /> PROJECT ADDRESS <br /> cM T'�� C�RP �'0�8 Gr�n� �� �. 9e�o� <br /> Owner Mail Address City State2ip Phone <br /> Tenant MailAddress City State2ip ����\ Phone <br /> fkAt�o�J Ft � �a.>s�. l��i,���o����� �. c.�l� 44�9� 334 -�aZ� <br /> Eleclrical Contractor Mail Address Gty State2lp Phone <br /> �R�Ec,oA0�8 3�D"° <br /> Slate License Number Contract Price of Work <br /> 1�G1.�1 (� <br /> Proposed Use of8uilding Contact Person (Plan Review) <br /> Description of Work to Be Done: �t 1�1��� ��'�'6jZ 1UF�� � 1 ,�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APFROVED 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: WIRING IN NON-DWELLINGS IS REQUIRED 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 E�UIPMENT 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 CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KKJW THE SAIr1E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOn'n WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. � <br /> -0� t'I��3t.�'VL/`' �UL�/ r�9 �QU� FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED .�o3c� -�i8 <br />