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ELECTr;ICAL PERMIT AP� �IC/�TION <br />CITY OF EVERETT PERMIT aERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />L 111 L��n �(�I�O <br />PROJECT ADQr�ESS <br />I-{ ��Gl< f3� • C v NST <br />Owner <br />Tenanl <br />Mail Addross <br />Mail Address <br />City <br />Ci�y <br />State2ip <br />Stete2ip <br />G �a�-a y <br />�o�ja 6 -/l�. <br />Phone <br />Phone <br />Su r� rn��r� Cl-E c;-��� c, � NG �02�3 2C,15t S f N W 5-ra ti�D 4�R Sb Z`i 2 3� i�`� <br />EleGrical Contractor Mail Address City �tate2ip Phone <br />Sur�r� iC I oov K� 7��u _ <br />State Liceuse Number Contract Price of Worh <br />�Ju P�G x <br />Proposed Use of Building Contact Person (Plan Review) <br />Description ot Work t� Be Dane: �..UU /�t fn{� � � E� �"�C�1 � SC� � li.� <br />l,�) I f�- E IU EW QU P� E� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUGATIONAL, FACILITIES 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 />�DUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED B'Y THIS OFFICE. <br />fJOTE: W IRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />I!ANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPI'ACLES ON WALLS <br />VJITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUi�i <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIROfVMENTAL AND UiHER CONTROL RECEPTACLES AND OTHER OP�RABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE pOUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE AEACH <br />RANGES OF WAC 5140 SEC. 3106(b)4 F_ & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />�+!EREBY CERT/FY THAT 1 HAVE FEAO ANO EXdM111NcD THIS APPLfCAT/ON AND KNOW THE SAIL1E TO BE TRUE AND CORRECL ALL <br />���;:�VISIONS OF L:7 WS AND URDINANCES GOVERNING THIS TYPE OF WORK W/LL 8E COMPIETED WHETHER SPEGFIED HEREIN OR <br />..' L THE GRANTING OF A PEFMIT DOES NOT PRESUM1IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRGVISIONS OF ANY OTHE.4 <br />� r;TE OR LOCAL LiW P.EGULATING CONSTRUC710N OR TNE PERFORMANCE OF CONSTAUCTION. THAT / AA1 AUTHORlZED BY 7HE <br />�'.','�vER OF THIS PFOPEATY TO PERFORM THE WOFK FOR WHICH APPL(CATICN IS MADE AND 1 COGIFLV WITH THE STATE <br />�_',VTRACTOAS LA6Y 78.27 RCW AND 296.200 WAC. <br />Signatu,o <br />22'� W <br />�ate <br />FEE � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPT�D F �`����' � 1� <br />