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� ELECTHICAL PERMIT AP��ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEC.�.R STREET, EVERETT, WA 98201 <br /> 425-257-8&10 - FAX 425-257-8857 G �•����� <br /> [ C;UOL'-/C� <br /> l_�c�l �/-����i sT <br /> PROJECT ADDRESS <br /> �v/`n,t.77- 1-/e-fsz.�.C- >1�, rr,,;,,�;7' /`wrn/�'iT ���-.R <br /> Ovmer Mail Address City StateiZip Pnene <br /> Tenant Maii Address City StateQip Phone <br /> �oL� ,Zi.r_"�T/=i-C /-.o.�oJ` Z/l7 Lyn,ti, LcJji 9�,36 `7zs-?-,L-7�s7 <br /> Electrical Contraclor ldail Address Ciry � Staterzip Phone <br /> ` � � C �� <br /> D/'/'cL�L��Cr �I70r� �) U >��' ,x..c _ <br /> State License Number Contract P�ice ol Work <br /> r'Z lz'S£/�2,,.c�� i2��, .n�' /t;�,c,L <br /> Proposed Use of Building Contact Person (Plan Revie:v) <br /> Descripiion o(Wark lo Be Done: �✓l Q �i,���� V C^ ��-y � �— �''`��� �J <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOES MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-4G-140. ALL OTHER <br /> EDUCATIONAL FA�ILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED?O BE IN RACEWAYS, MC OR AC CABLE. <br /> � HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBI_E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE �dOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> I ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> ii RANGES OF WAC 51-20 SEC. 3�06(b)d E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I I HF_REBY CERTIFY THAT I HAVE faEAD ANO tXAMWEO THIS APPLICAiION AND HN06Y THE SAA1E TO BE TRUE AND CCRRECT ALi <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WO.41: WILL BE COMPLETED WHETHER SPEGFIED NEREIN OA <br /> NC i, 7HE GFANTING OF A PERMIT DOES NOT PRESUME 7G GIVE AUTHOFITY TO VIOVI7E OR CANCEL THE PROVISIONS OFAtiY'OTHrH <br /> S7dTE OR LOCAL L1V✓REGULATING CONSTFUC710N GF THE PEFFOFMANCF OF CONS7FUCTIGV. 7HAr I Ah1 AUTHCRIZED BY THE <br /> OIYNEA OF THiS PFOPEflTY TO PERFOflM THE WOAK FOR LNHICH AFPLICATICN IS MACE ANU 1 COM1IPL}� INITH TY.E SS'ATE � <br /> CU'JTRACTORS LAW 18.27 FCW AND.96..00 WAC. <br /> � � <br /> , 1 ' � <br /> - `��-- - --- :-��, aC- zi- �, y FEE <br /> Signature Data .,iw <br /> .',G : <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ;� -�- � � � <br />