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�.. <br /> ELEC'i RICAL PERMIT APr�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-'L57-8810 - FAX 425-257-8857 <br /> �Zz ��4✓1� �L✓a-c� — Co�oS -v3 f <br /> PROJECT ADDRESS yZs' c�70 �y/Z <br /> �< l)-��� S���L.�-- �l Zz ��2« �-�c� ��4;���- �3 �s3 � <br /> Otvner Moil Address Ci1y State2ip Phone <br /> TCnant Mail Address City Slale2ip Phono <br /> A I c C���Ac_ � 1-�� F�t��,� � �e...�-E-�-� I�4 , <br /> EleClriCal CONra lor Mail Address City State2ip Phone <br /> �P l, Doc� . 6a <br /> Slate License Number Contrac Price ot Work <br /> S L� ��t <br /> �posed Use ol Building Conlacl Person (Plan Review) <br /> Description of Work lo Be Done: ��Q/I/� � � �Gf✓1-Q � � �'�'� n"-C/ I'�.Q I 0 C (�. �� <br /> li•� ����� r,� a-o '�- DO A .,r� . <br /> � � <br /> Ne ) -Q� � 'f��o,.__ , ' ,� , ,, <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 REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE4UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES 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 OTHER 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 /> 1 HEREBY CEATIFY THAT 1 HAVE READ AND EXAM1fINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PROVISIONS OF L7WS ANO ORDINANCES GOVERNING THIS TYPE OF VJORK WILL BE COMPLETED WHETHER SPEC/FIEO HEREW OR <br /> NOT, THE GRANTING OF A PERh11T DOES NOT PRESUh1E TO GIVE AUTHOFITY TO VIOL;7TE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL l.ALY REGUL:ITIN3 CONSTFUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHDAI2ED BY THE <br /> OIVNEF OF THIS PROPERTY TO PEFFOFM THE 4VOFK FOR WHICH APPLICATION IS MADE AND I COM11PLY WlTH THE STArE <br /> CON7F.4CTORS LAW 78.27 FC6V AND 2H6.200 W C. <br /> i ' <br /> �l� ��� ,�' �j — C�J � C�� FEE (� � O C <br /> i�Signature Date J <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> L U�'':� �O 3 <br />