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ELEC`` r�ICAL PE�lVIIT AF,�LICaTION <br /> CITY OF EVERETT F'ERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� �1 �1 � \l.) t��2k� f� E <br /> PROJECT ADDRCSS <br /> ;-k�c�c�,c 1�,^c,s, cc,,�sz, �l��.F����, � t���2�Tr U.�, �I����S ��25-3`a7-7.s�o <br /> OWner Mail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phona <br /> S�mr�i,�-E�e���'c (��u3 ?��`'=s7 S-mN�o � ��a� 3�1��-� '-�;� <br /> Eleclrical Contrac�o� Mail Address Ciry Statz2ip Phone <br /> ,�«��,1�'t1�E `��Wi M �� <br /> State Lioense Number ` Contract Price of Work <br /> �e � �-b,U�� z12�Z���'���� <br /> Proposed Use of Buildin� Contact Person (Ptan Review) <br /> Description of Wor!c to Be Done: ���� `���'� l '�\-- <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 ST.4TE <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 W ILL BE REViEWED BY THIS �FFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RE�EPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBI E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMU�1 <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALOfvG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGEo OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE F�OOR. <br /> r I HERE:�Y CERTIFY THAT 1 HAVE READ AND EXA611NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AU_ <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS 7�PE OF WORK WILL 9E COA1PLETED WHE7HER SPECIFIED F'E.4"": JR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUh4E TO GIVE AUTHORITY TO VfOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCiION OR 7HE PERFORMANCE OF CONSTflUCTION. THAT I AM AUTHORIZED 9Y 'HE <br /> OWNER OF THIS PROPERTY TO PERFORh1 THE WORK FOR WHICH APPLICATION IS 'AAOE AND 1 COMPLY WIrH THE STATE <br /> CO flACT q5 LAW 1827 RCW AND 296.200 WAC. <br /> � �. <br /> ��- ���� �� A�� �,����� �� �� FEE <br /> � ��7� �' � <br /> � SignaWre � � Date <br /> _� <br /> DEBI'f&CREDIT CAfiDS ARE NOT ACCEPTED �03 G(�-�US <br /> � <br />