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_! <br /> ELECTt;iCAL PERMIT APF �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETl', WA 98201 <br /> 425-257-8810 - FAX 425-�57-8857 <br /> � �� � L-�`�U��`'>�� c�, y zs� <br /> PROJECT ADDRESS <br /> ��.L���,-� � 1,\ l �w��a�� ��.iZ��C ��� ��`i-��zti <br /> Owner Mail Address City State2ip Ph�ne <br /> ��� �, � <br /> Tenanl Mail Address City State2ip Phcne <br /> j C �� <br /> Eleclrical CONrac�o� Mail Address City State2ip Pf�cne <br /> ��' <br /> �— <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work ro Be Done: ��; C1��� � `QC \ ' r 1\ ` 1 I <br /> - �C�� ��w�� �^�l � 1 � ��� C�.����� ..�J <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIIITIES 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•UWELLINGS IS RE�UIRED 7U BE IN �ACEWAYS, 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 CONTROL RECEPTACLES AND OTHER OPEAABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROJTES 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 ��EREBY CEFTIFY THAT I HAVE READ AND EXAM1IINED THIS APPLlCATION AND KNOW THE SAM11E TO BE TRUE AND CORFECL ALL <br /> ��FOVISIONS OF Is7WS AND ORDINANCES GOVERNING THIS rl'PE OF WORK LVILL BE COMPLETED WHETHER SPcCIFIED HEREIN OR <br /> ivCL THE GRANTING OF A PERMlT�OES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISlONS OF ANY OTHER <br /> S7'ATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OIVNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS IdADE AND 1 COMPLY WITH THE STATE <br /> CCNTFACTO.FS lAW 7827 RCW AND 296200 WAC. <br /> �: V—Cti �-- ��� 1�1�'��i A �� � FEE <br /> `_" �'>`�'�I <br /> � <br /> SignaWro Date <br /> DEBIT& CFEDIT CARDS ARE NOT ACCEPTED �oyU�a+oo <br /> �c�o(� •(oo <br />