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� ELECI . �ICAL PERMIT AP. LICAT�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 38201 <br /> , 425-257-8810 - FAX 425-257-8857 <br /> -�i�; �� ��� ��rf ,�1��� ����, <br /> PROJECT ADDRESS <br /> �j ,�• i �o�»�,,< rc, /o .�'i `T76 �%��:•--/'% l^�'9 ���;�GE� s'`/` �1`.�1 <br /> 0��+'ner Aiail Address Ciry Slnto2ip Phone <br /> Tenant hlad AdJress Cdy Stute2ip Phono <br /> � ,?6u <br /> f:-�r�ssi�;,.:. / �i� - �� I� � !'c�� a�/5 /7r.%..�,.�o-. C�/I ��8d� � y;.1=6��,2 <br /> Elecfncal Contractor Mail Address Ci�y Stnle2ip Phono <br /> ��k'u /-;��y .w ;' 7.E-�� <br /> State Uconso Number Contract Price ol Work <br /> /,C n/E'f <br /> Propose se ol Building Contact Person (Pian Review) <br /> � / <br /> Descnpiion ot Work to Be Dane: �L�i�� �`� i��'�'c� C'�'�i� <br /> I c�U �r v;�,.-�— <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPFiOVEG BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APFROVED 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 6Y TNIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES 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 /> EtJVIRONP�tENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG RCCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> : �EFEBr CERTIFY THAT I HAVE READ AND EXAh41NED fH15 APPLICATION AND KNOW THE SAME TO BE TRUE AND L'OFFECL ALL <br /> FFOV�S7GNS OF L,1WS AND ORDINANCES GOVEFNING TH;S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED NEREIN OR <br /> N07, 7HL GRANTfNG OF A PEF7AIT DOES NOr PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> S7A TE OR LOCAL l�7 W FEGUL7 T�NG CONS7RUCTION OA THE PERFORh1ANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> C�5'NER CF THIS PROPERTY i0 PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAYJ iB27 FCW AND C96200 WAC. <br /> ��� FEE �O � <br /> fz-/c��' /�,•a-� � - ,7 O'--0� <br /> S�gnature Dato <br /> DE91T 8 CREDIT CARDS ARE NOT ACCEPTED �(� Z�C� _O Q `/ <br /> ilJ ( <br />