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� <br /> ELECI ,�ICAL PERMIT APr- L�CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> //<o S� �vrry�( ✓��'� (I ��Jwy <br /> 05 <br /> PROJECT ADDRESS � `1�' r <br /> Ovmer Mail Address Ciry State/Zip Phone <br /> 1���� ����� �- <br /> Tenant Mail Address City State,2ip Phone <br /> C �� Y�' ( S/ �/P� tl �ll�hll /�! `I �r. �eY�t � �� I—�'�(' Ft-1 l�T� �7 ' c,J 3�a`{�-3 'C^C�7L� <br /> Electrical Conlraclor � Mail Addres City State2ip Phone <br /> c � �sisnoy�hr �' �6, e�o. �s� <br /> State License Number Contract Price of�Work <br /> �L'f S-�e�-F �i �� �0+��� <br /> Proposed Use of Building Contact Person (Plan RevievQ <br /> DescriptionofWorktoBeDone: �r// j� �I � `/ —`��I��/^ ,���u/� 1/�.�G �IlD����..� � \� � <br /> � y / , , <br /> ll�'l-�h-�Fi� l—�i �[�� l �//-� � <br /> NOTE: PLANS FOR ELECTRICAL WORK Al' 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 EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEP.LTH 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 RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALO�JG 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 UR 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 /> � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S APPLICATION AND KNOW THE SAM1IE TO 2E TflUE AND CORRECT. ALL <br /> PAOVIS(ONS OF U1WS AND ORDINANCES GOVEfiNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GflANTING OF A PtRMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW flEGUV1TING CONSTRUC710N OA rHE PEFFORMANCE OF CONSi RUCTION. THAT 1 AM AUTHCRIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE lh'OFK FOR V✓HICH APPLIGATIDN IS M11ADE AND 1 COMPLY WITH THE STATe <br /> CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br /> Q1 � <br /> � FEE <br /> �j�:�l/ r <br /> ( �Cc v��i �-(�C <br /> i <br /> Signalura Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED L c�� �y-���°1 <br /> —� — - __.__._ <br /> �• <br />