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RICAL PERMIT A!- PLICATION <br />CITY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETi , WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� JI �Gw'EcL Ko� �/ <br />PROJECT ADDRESS , <br />. /� a: ✓. oi r-� <br />Owner <br />S -� ( v� <br />Tenant <br />��� i./ � �� � '-. <br />s �3� , <br />Mail Atldress <br />n-c'; �c ! <br />'� . <br />Mail Address <br />S:.; �n C c� f . <br />�i � � -�3 <br />�p�pi—I�II <br />�y2s� <br />p„6tL �„ercff, �r'fi 9,i��3 3S3-7S�C <br />City State2ip Phone <br />o, C�c� �/� S c�t �J �� � L:�;._�.-� P� <br />Ciry State/Zip Phone <br />-�J, �� NGYy�r}'� �-� h:� ^� <br />Electrical Coniractor Maii Address City <br />N/�r' <br />Slate License Number <br />f, <br />5�,���/f /�H.v• y .^/5����iti(F — <br />Praposed Use of Building <br />State(Zip , Phone <br />� �� <br />ConUact Price of Work <br />/�:, � • �,/ �� �/ <br />Contacl Person (Plan Revi ) <br />Description of Work to Be Done: /%�p ,r-( S d •^ � G �� c �'r ., / �� `�r /� ' � <br />r <br />oi� <�.��� 0� u�� : t'.�-.� ��r �4t ,,�_�t, i � c <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APFROVED 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 REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS 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 CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE RGUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 F. & F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br />I HERE�Y CERTIFY THAT 1 HAVE READ AND EXAM1fINED THIS APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECL ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL HE COMPLETED WHETHEF SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PE.9MIT COES NOT PFESUMc TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE QR LOCAL LAW REGULATING CONSTRUCTION OR 7HE PEAFOFhfANCE OF CONS7FUCTION. THAT l Ah1 AUTHORIZED BY THE <br />J'NNER OF THlS PAOPERTY TO PERFORh1 THE LYORK FOR WNICH APPLICATIJN !S MADE AND / COMPLV WI7H TNE STATE <br />CONTRACTO.RS LAIN 18.27 RCW AND 296200 WAC. <br />/� ��'� �� � <br />�/�� <br />/�� <br />Signalura ;/� <br />�% <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />L � FEE � <br />yU3o`l-C ll <br />