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ELEC'i RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> a�5/ � � �s�'Grir�a' f� vC� Yzs. zsa-� <br /> PROJECT ADDRESS G vy Z <br /> /��l Cc " S!t '����� PD(� J Z(p 0�l �zri,��.cif L� �i �7.0 � <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City 'tale/Zip Phone <br /> �l l��L�,L�fi«�� �=�a�� asa �z33�- <br /> Electrical Coniraclor Mail Address Ciry State2ip Phone <br /> 07�3<')C� — <br /> State License Number Contract Price of Wurk <br /> Proposed Use of Building Contacl Persoc (Plan Review) <br /> Description of Work to Be Done: � (�,.� L� PQl�-r�/'� !ic /'1 i�w� ) �Cl/1 C� �yLlGu-+-�'-� <br /> K�OX L U CL, G LL�r�ZGL�ec� 1i1�o� i�?F r?17�s�f� /���5 fZl,c�r 0 [-c7 Gb <br /> �L(' -LU (/LCO� ��1�t U�R /�l v'�GNi,CR_+�—L � s'J� .Q /.UCiLD d i •.i <br /> �-� vlGL�u1-� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE 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 BYTHIS OFFICE. <br /> NOTE: W IRING 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 ALGNG 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 WITHIN <br /> ACCESSIBLE SPACES 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 I HAVE AEAD AND EXAM/NED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WlLL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GAANTING OF A PEFMIT DOES NOT PHESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW AEGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOqM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON i RACTORS U1 W 18.27 ACW AND 296200 WAC. � <br /> , �� �' � "� � FEE 1 <br /> � naNre Date J <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E d3 0�-G�(p <br />