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� <br />a , �. <br />�"l n '�i� <br />PROJECT ADDRESS <br />fj � <br />-t v ' .� i � r�-t, <br />Owner <br />Tenant <br />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 />%in 5� ^ <br />V �,`c_ i F <br />� / / <br />�.� i_ e..t �.� �i� <br />Mail Address L <br />. �.yf 1 �p- _ / G. <br />Mail Address <br />Contractor Mail Address <br />r.-V� i?(..( ��^3�=�1=r <br />State License Number <br />l ( <br />�_ �,�..,� ��,,, ��. <br />Proposed Use of Building <br />Descriplion ol Work to Be Done: <br />�- <br />� r� �, -� i c�... . � <br />�/r � � i„ ) ;i <br />, , <br />�� <br />rt <br />City <br />Ciry <br />Slate2ip <br />State2ip <br />Phone <br />Phone <br />City State2ip � phone <br />� ��.�Co�-�—� <br />Contrac riceof Work <br />y���,� l <br />Contact rson (Plan Revie�v) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS 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 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 CON"fROL RECEPTN�LES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCE:SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE f�EACH <br />RANGES OF WAC 51 •20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I NEREBY CEATIFY THAT I HAVE READ AND E�'A61lNED TH/S APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PFOVISlONS OF G1 WS AND ORDINANCES GOVEFNING THIS TYPE OF WOFK WILL HE COMPLETED WHETHER SPEC/FIED HERE/N OR <br />.VOT LHE GRANTING OF.4 PEFh11T DOES NOT FAESUh}E TO GIVE AUTHOFITY TO VIOLITE OR CANCEL THE PROVlSIONS OF ANY OTHER <br />SrATE OR LOCAL WW REGUW7/NG CONS7RUCT/ON OR THE PEFFORAfANCE CF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OLVNEA OF THIS PFOPEATY TO Pc'RFORM rHE WOFK FOFi LVHICH APPLICAT/ON IS MAOF AND I COMPLY WITH THE STATE <br />CONTRAC70FS LiW 78.27 RCW AND 296.200 LYAC. <br />� <br />� ' ' l- <br />� , � � �' � <br />� Signature i�� <br />EIECAP�FEV &20J1) <br />L��� � :// � <br />FEE � � � J �� <br />S% <br />