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ELEL fRICAL PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SE�VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-SR10 - FAX 425-257-8857 <br /> PROJ C� DDRESSLO M � `��f l — ���/ ���9 <br /> ���nM�.rf' 1'Pvlu��1= lYo.S i.o�ta.A�� �(lk�t�/� � �r �'�'�_ <br /> Owner �1,�-i—�OC✓` Mail Address Ciry Slate2ip Phone <br /> Tenant Mail Address City State2ip LQg�� r/�ope <br /> �Q ( <br /> f��U4ntt�kit c'kE�s 0-�S�I��,r�E- 3r�� ► 2��l�fiF.�a4�u 61��.E�� 9'ry -z��/ <br /> Electricel Contraclor Mail v,ddress Ciry State2ip Phone <br /> ����N�SS /�/� L� <br /> State License Number Cuntract F'rice of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: S,�/L��/ /� �`� /—�/2/t'( � ( /�(�S�,�C�`a,(/ J <br /> _�l r� ft��� 12,���-ce��t_ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST B� <br /> APPROVED BY THE STATE OF WASI'.INGTON. APF'.:�ANTS WITH SUCH JOBS MUST SHOW THE STATf: <br /> APPROVED PLr1NS BEFORE CITY OF EVEREl7 PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTH�R <br /> EDUCATIONAL FACILITIES AND ALL NEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W�RING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELEC'T'RICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHcS ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIHONMEN7AL AND OTHER CONTROL RECEPTACLES AND OTHER OPFRABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITI�IN lHE 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 CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PFOVISIONS OF L7WS AND ORDINANCES GOVERNING THIS TYPE OF WORfC WILL BE COMPLETED WHETHER SPEC/FIED HEFEIN OR <br /> NOT, ThiE GRAN7ING OF A PeRMIT OOES NOT PRESUME TO GIVE AUTHOA/TY TO V/OLATE OR CANCEL THE PROVIS/ONS OF ANY 01'HER <br /> STATE OR LOCAL L4W FE:iULATING CONSTRlIi.T/ON OR THE PERFORMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHORIZED BY THE <br /> OV✓NER OF THIS PROPERTY TO PEHFORM THE WORK FOR WHICH APPLICAT/ON IS MADE AND I COMPLY WITH THE STATE <br /> CGNTRACTORS LAW 78.27 FCW AlJD 296.200 WAQ � <br /> � <br /> � �l O /' FEE `� !� <br /> ,J <br /> � SignaWre� Date <br /> DEBIT&CREDIT CARDS ARE NO'i ACCEPTED <br /> E d3 �!-o3z <br />