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ELECT�KICAL P�RMIT AP� �ICa►TION <br />CITY OF �EVERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVF_RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />3S�/ /�,�,haro� /4� �� �� y25 <br />PROJECT ADDRESS J ����/�. , �y.�� 76�� <br />�rvh ��+"��Plr �C r�� � 0 �. =�✓ /�/ � 7fG/ -i <br />Uwner Mail Address City Slate;c�p <br />.Ta,� �rc+� � c id 3�3 / La.M Ga vta� �4- i/e'� ���'r71` �,JDr <br />Tenant <br />Tavsl� <br />Eleclrical Contractor <br />State License Number <br />Proposed Use of 6uilding <br />Description of Work to Ee Done: <br />Mail Address p <br />Go.��.ro1 <br />Mail Address <br />Srr^JrCe <br />City <br />�✓�r,zf- <br />City <br />Slale?.ip <br />�J� . <br />State,2ip <br />� /O C1 <br />Phone <br />y�s -as�s- <br />Fhone <br />s���l <br />Phone <br />Coniract Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FU;VDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPIICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERtiIIT WILL BE ISSUED. WAC 296-46-140. AL� OTHER <br />EDUCATIONAL FACILITIES AND ALI. NEALTH CARE FACILITIES PLANS W ILL BE REVIEWED SY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQ�IRED 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 FiOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIROhMENTAL ,4ND OTHER CONTFOL RECEPTACLES AND OTHER OPERABLE EQUIPti1ENT WITHIN <br />ACCESSIl3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHihI 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 HERE6Y CERTIFY THAT 1 HAVE REAC AND EXAMINED TH/S APPLICATION AND KNOW ThIE SAME TO BE TRUE AND CORRECi�. ALL <br />PFOVISIONS OF LAWS AND ORDINAN�ES GOVERNiNG THIS TYPE OF WORK WILL BE COhiPLETED WHETHER SPEClFIED HEFEIN OR <br />NOT, rHE GRANT/NG OF A PERMIT DOES NOT PAESUME TO GIVE AUTHOPITY TO VIOLATE OR CANCEL THE PliDVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORhfANCE OF CONSTflUCTION. THAT 1 AM1i AUTHCAIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICAT/ON IS MADE AND 1 COMPLY WITH rHE STATE <br />CONTRACTOFS LAW 78.27 flCW AND 296200 WAC. <br />FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E 04tl6-07p <br />