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ELECT�ICAL PERMIT A�`LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/5 .32 /�D�LOl4.' �/�� �L l �� #�/ <br />PROJL-CT ADDRESS <br />,(yU,/F_ !G//9(�- Co%/d i �d ,�0,� 3J1. I�UV/�L(. lvh q�'0/q �I�b �3/9— 7�//3 _ <br />Owner <br />Tenant <br />Electrical <br />Ma I Address <br />Meil Address <br />Mail Address <br />/Y1 � i����F_ cov3 /�J� <br />State License Number <br />S f I� <br />Proposed Use of Building <br />qry <br />City <br />.SAD'Li S% �=V- <br />c�H <br />StatefLip <br />State2lp <br />L "_' <br />sceierz�P <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �^ 6 � � G�(� %�/1�I� f.�V�ij <br />Phone <br />Phone <br />ano�a <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASH!NGTON. APPLICANTS 4VITH 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 BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTElv1 RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SH4LL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL ANG OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACFS 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 NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW THE SAME TO BE TqUE AND CORAECT. ALL <br />PROVISIUNS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L1W REGULATlNG CONSTRUCTION OA THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEPTY TO PEAFORM THE WORK F0,4 WHICH APPLICATION IS MAOE ANO 1 COMPLY WITH THE STATE <br />CONTRACTORS CAW 7827 RCW AND 296200 WAC. <br />Signalure <br />FEE 3 u e <br />—OZ 5' <br />Dele <br />ELECAP�REV Bf2CA1) V � � D aQ3 l�) � <br />