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ELECT� �ICAL PERMIT AF�( _ICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 58201 <br /> 425-257-8810 - FAX 425-257-2857 <br /> J Ot� �6dc���~v ��— <br /> PROJECT ADDRESS <br /> ��,���� , ,� ,���� s �✓ -��/� �e /J�ft/ti�� a����. 9�a� / <br /> Ot•mer Mail Address <br /> City State2ip Phone <br /> TenaN Mail Address �K.� C. �ity State2ip Phona <br /> 5: 1�«���/� F/ �,�� 9s�a �y��� r ,E�k �SSw�- 9�;��� =��s-3.ns'�r.�a <br /> Electrical Con/ir&c:or Mail Address City � State2ip �hone <br /> �� �✓<!� g�r/� /(�w� <br /> State License Number Contract Price of Work <br /> � <br /> l e/N'� �/�k l� {� �1'cJ/�k�� <br /> Proposed se of Building Contact Person (Plan Review) <br /> Description of 1Vork�o Be Done: yNJ/ct/( ��'�Q�J .�dh✓� �� � � <br /> �- u/'',1� c�M'��. <br /> l� � �; �z� G��.rfi-u�f,��..� <br /> _ � ' � . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. AP�LICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLAfJS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIOf•�AL FACILITIES AND 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 E�UIPMENT V��ITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLUOR. <br /> 1 HEREBV CERTIFY THAT l NAVE READ AND EXAMiNED THIS APPClCATION AND KNOW THE SAME TO BE TRUE AND COFFECL ALL <br /> PROVISIONS OF(.;1WS AND OROINANCES GOVEFNING THIS 7'YPE OF LM1�ORK VNILL BE COh4PLETED WHETHER SPECIFIED HERE/N OF <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PFESUME TO GIVE AUTHOFITY TO V(OLATE OR CANCEL THh PROVISIONS OF ANY OTHER <br /> STATE OA LOCA! LAW REGUCATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF 7HIS PROPERTY TO PERFORM1I THE WOFK FOR WHICH APPLICATiON IS MADE AND 1 COMPLY W17H THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> ,l� �,{/�,.� FEE <br /> v y � <br /> Signature Data <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � �! /D� � 7�ji <br /> �� <br />