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EL��,TRICAL PERMIT �,�PLICATION <br />CfTY OF E\/ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />—�Q1S fr� t�� �'%u � <br />PROIECT ADD SS <br />Owner <br />Tenant <br />� � a I I i / � <br />Mail Address <br />Mail Address <br />City <br />City <br />StatelLip <br />State2ip <br />Phona <br />Phone <br />j rr� v�f �/r�i-r� 1�y7 S/j2ail«f ,�/����/r ��d ���, u/q 9�15��- ����� 7yB- aa55 <br />Electrcal Conlractor Mail Address Ciry State2i Phone <br />T,�.4 t1 ��".�31 SLi� 7D� <br />State License Number Contract Price of Work <br />Proposed Use <br />Description of Work to Be Done: <br />,�o/J��y/Kiil Jit� =52�^lT2f�' <br />Contact Person (Plan Review) <br />�dOTE: PLANS FOR 1_LEC'fRICAL WORK AT EDUCATIONAL, FA�ILITIES UTILIZING STATE FIINDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFOPE CITY OF EVERETT PERMIT WILL BE ISSUED. WP,C 296•46-140. ALL OTHER <br />EGUCATIONAL FRCILITIFS AND ALL HEALTH CARE FACILITIES F'LANS WILL 8E REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEW 4YS, MC UR AC CABLE. <br />HANC7ICAPPED ACCESSIBILITY: ELECTRICAL A.ND COMtv1UNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MGiJNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTP,L ANU OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND PJOT LESS THP.N 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAIdINEO THIS APFLICATIJN AND KNOW 7HE SAME TO BE TAUE AND CORRECL ALL <br />Pf70VISlONS OF LAWS AND OROINANCES GOVEFNING THIS T1'PE OF INORK WILL 6E COMPLETED WHETHER SPEGFIED HEREIN OR <br />NOT, 7HE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TC VIOLATE OR CAA'�EL THE PROVISIONS OFANY OTHER <br />S(ATE OR LPCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC7iON. THAT 1 AM AUTHORIZED BY THE <br />GWNER OF THIS PAOPERTY TO PERFORM THE WORK FOR l4'HICN APPLICATION IS MADE ANO 1 COMPLY VJITH THE STATE <br />CONTRACTORS L4W 18.27 FCW AND 296200 WAC. <br />SignaWre <br />DEBiT & CREDIT CRRDS ARE NOT ACCEPTED <br />Date <br />� a3/a -G7 �" <br />FEE <br />