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ELECTf�ICAL PERMIT A�"� LICATION <br /> CITY OF �VEFETT PER"JIIT SERV�CES <br /> 3200 CEDAR STREET, EVERETf, WA 93201 <br /> 425-257-8810 - FAX 415-257-8857 <br /> 3c�o �7 �-r/'�o�r-� /�u� <br /> PROJECT ADDRESS <br /> � <br /> �Lll li`_ �-�-/�i�/��%> >vn i�T,J'v=�%:t TL'/jJ�%� l.�,1?. 7��L�/ <br /> Otvne� Mail Address Ciry State/Zip Phone <br /> Tenant Mail Address City Stato2ip Phonu <br /> J��-hr����«. �.�. �'�,,��� z��� Ly,v:�: w�. 9�,�c �,zs -��z -��s-9 <br /> Eleclrical CoNraCtof Mail Address Cily � State;Zip Phone <br /> �) kL,t � i'7uf�r n�� <br /> � <br /> l, P��'- � <br /> State License Number Contract Price of Work <br /> ���t 1—TL f/I-�'`�iLy �/1�+/,y i{/lFr <br /> Proposed Use of Building � Contact Person (Plan Review) <br /> Description of Work to Be Done: J(��O /�1 Nf'' S�.,'3 -� ,�'/�+i."L � fti j',R,� j %CJ_�CiI1 r c <br /> ��J; l.�./17-`'i2 Tl'�.�/�S' �i'a�,�' �' `/J Uac�% S�"�,v-Li� f'/��S'.0 <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZI�JG STATE FUNDS MUST BE <br /> APPROVED BY THE ST.4TE 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 AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREG TO 3E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAf PED ACCESSI�ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITF�IN 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 /> ENVIRONMENIAL AND OT:iER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG Ai,CESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY :ER71FY THAT / HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECL AL: <br /> PFOVISIONS CF LAtNS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEP SPEGF/ED HEREIN OR <br /> NOT, TI1E GRANTING OF A PERMIT DOES hOT PRESUME r0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOVlSIONS OFANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUCTION OR 1NE PERFOpMANCE OF CONSTRUCTION. THAT 1 Afr�AUTHOR/ZED BY THE <br /> OWNER OF 7HI5 PROPERTY TO PERFORM1f THE WOfiK FOR WHICH APPUCATION IS MADE AND 1 COM1'PLY WITH THE STATE <br /> CO(JTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> .—� � .!:.r . <br /> �____---� L c� t �7-��y FEE <br /> SignaWre ,:� Date <br /> DEBIT&CREDIT CAR�S ARE NOT ACCEPTED r O� �Z-0/3 <br />