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ELECT�ICAL PERMIT AP �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9P201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3� Z`i �v`'R�rTVs= <br /> PRO.JECT ADDRESS !�r) S 7yyU <br /> N/� L1�/�Llf L� C, z! �z /��(vHV�Nb ."1c/� %'V lt/A 9'��0� �5Z-{�$4t�r <br /> Owner Mail Address Gry State/Zip Phone <br /> Tenant Meil Address Cey State2ip Phone <br /> �>�C� /�i 1.' �LLL-JJC/L C1 /N <br /> Electrical Contractor �Hail Address Ciry 1�y Slate2ip Phone <br /> —_LL1LC�/!� i= LOp 3 N� 7" SO, c�UC� �v <br /> Stale License Number Contract Piice of Work <br /> �"o u�,�i /�i�r��Ti�f�V T <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to ee Done: (,L,1/!Zj NCGU /d U/V/T �'����.1�'1� <br /> /— E'� U 0 AM I' /1f1� <br /> /i — /oo .4�n,rP S' u �S <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: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> ' HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLGS 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 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 CER7IFY THAT 1 HAVE REAJ AND EYAMWED THIS APPLICATIGN AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF I.AWS AND ORDINANCES GOVERNING THIS TYPE OF WOFK IYILL BE COM11PLETED 4YHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRAN7ING OF A PERMIT DOES NOT PFESUME TO G(VE AUTHOFIT l'TO VIOLATE OR CANCEL THE PROVISIONS OF.-0NY 07HER <br /> I STATE OR LOCAL LAW REGULATIN('i CONSTFUCTION OR THE PEFFOFhIANCE OF CONSTFUCTION. THAT 1 AA1 AUTHORIZED BY THE <br /> I Ol4�NER OF THIS PROPERTI' TO PERFOFM THE INORK FOR t1�HICH APPLICATION IS M11ADE AND I COMPLY WITH THE STATE <br /> i CONTRACTORS L4W 78.27 RCW AND.'96.200 N'AC. <br /> /�f///=:� � ' Z � - U� FcE � ��� Ub <br /> J <br /> Signature � .� Dato <br /> �EBIT&CREDIT CARDS ARE NOT ACCEPTED Ectit�-I 3S <br />