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ELE�'TRICAL PERMlT ��PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> l�SOD �n�o��,,� �"a�' S1_ <br /> MPROJ�pCT ADDRESS L / <br /> /G,/�!�c ����te Ltt��/�l-C- �yU l GGchSu�✓ �vf �<G d�[t Ne..�2 �i�c �5 ��C <br /> . <br /> Owner Maii Address Ciry State/Zip Phone <br /> �i� I/�in� «!io .�iv�(kf �ryS'� I%G=C/�// ! 1✓�, c/lY,�� <br /> Tenanl Mail Address Ciry State2ip Phone <br /> S �ver-�.��/Ce !-�.<<fr,� 9 �G,� /�r�Avr S'f= �(� ��e��ft, C✓/� I�'�d�Y <br /> Eiect�ical Contracto� Mail Address City State2ipc Phone <br /> .�ve�e 9F�� f'f� y����.�,� <br /> State License Number Conlract Price of Work <br /> O�ICL h/GV�� ��Ou.��L�--- S�/�[C ' (:'✓�eJ <br /> Proposed Use of Building Contact P rson (Plan Review) <br /> Description of VJork to Be Done: /�iC7l�/� ��i��/)�cd N�/�P��u) C �`� �j/��{ ��/�-`p y t� <br /> „A.�� W�r� � tiCr✓ /�da/' ���,�t�(�/T� %,�tii �- - <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE SiATE 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 /> EDUCATIONAL FACILITIES ANU ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITFiIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ; HEREBY CEflTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATlON AND KNOW THE SAME 70 BE TRUE AND CORAECT. ALL <br /> ?FCVISIONS OF 41 W5 AND ORDINANCES GOVERNIN6 TH1S TYPE OF WOFK WILL BE COMPLETED WHETHEA SPEGFIED HEREIN OR <br /> `JOT. THE GRANTING OF A PERh11T DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OFANY OTHER <br /> STA rE OR LOCAL LAW REGULATING CONSTRUC7ION OR THE PERFOFMANCE OF CONSTFUCf10N. THAT 1 AM AUTHOflIZED 6Y THE <br /> Ot7fJER OF THIS PAOPEflTY TO PEAFOflM11 THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH 7HE STATE <br /> CONTFACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> � �`� �lulu,� ��/�/�i -O� FEE <br /> -c•��� - <br /> �' Signature Da�e <br /> DEBI i&CREDIT CARDS ARE NOT ACCEPTED F (�j�j I/-1 V` <br />