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ELECC �ICAL PERMIT AF .�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �OI'G C��va� � �u� <br /> PROJECT ADDRESS , /� <br /> � IG�QI- 4 �J4��IL�1r... L1��L�C�v ��/�NC� G!/A �8�0��/—�fzsi <br /> pwne� Mail Address Ciry Stete/Zip Phone <br /> Tenanl Mail Address City Stete2ip Phone <br /> 0..� ���,...�� %�l oH �g�T��'-S�� �..,. N�,� �9&t�3� �7�— 6(l 3 <br /> Elecif.iCal Contractor Mail Address City Stat 2ip � Phone <br /> �f,�P � 30� D oS _ �-' , °a- � <br /> State License Number Coniract rice of Work <br /> ��g � DJP�-E:JC ( 2- U1lIYS� �f�V� <br /> Proposed Use of Buiiding Contect Person (Plan Review) <br /> \ <br /> Description of Work to Be Dane: i <br /> / � � <br /> 0 " <br /> g� �'�,---�� � � �. _ <br /> NUTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STHTE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF �VERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL QTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE; W IRING IIJ NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: EI_ECTRICAL AND COMMUNICAT�ONS SYSTEM FECEPTACLES 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 OTFIER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 /> ! HEFEBY CERTIFY THAT I HAVE FEAD AND EXAh11NED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NO�PFESUME TO GIVE AUTHORITY TO VIOLA7E OF CANCEL THE PROVISIONu OFANY OTHER <br /> STATE OF LOCAL LAW flEGULATING CON5TRUCTION OR TkE YERF0.4MANCE OF CONSTflUCTlON. THAT I AM AUTHORIZED BV TNE <br /> OWNER OF THiS PROPERTY TO PERFOFM THE WORK FOF WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 78.27 FCW AND 296.200 WAC. <br /> i'" , 0�� , -� a i � � FEE <br /> Signalure ate <br /> DEBIT&CREDIT CARDS ARE NO ACCEPTED E 03 D�-/3 S <br />