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ELECT'. .ICAL PERMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SFRVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �y��`� l�N'— �2s 7�S-c�ns <br /> PROJECT ADDRESS � <br /> �-iGUI-/�I ��ALPCrD6 ` — II�C)c'1�I Tial.�^�T �oti�� Cl,�NlnAl17S W � ��Q�� <br /> Owner Mail Address City StatelLip Phone <br /> Tenant Mail Address City State2ip Phone <br /> ('% lal N L�� <br /> Eleclrical Coniractor Mait Address City State2ip Phone <br /> � t�A <br /> Stale License Number Contract Price of Work <br /> � �� 1't'�i�SF <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Descrip�ion of Work to Be Done: ,��(; �11"}� v'�e L�IaDr <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIL.ITIES 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 UJILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED 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 INCNES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 4VITHIN <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 FLOC�R. <br /> I HEFEBV CERTIFY THAT 1 HAVE FEAD AND EXAMIhED THIS.IPPL/CAT/ON AND KNOW 7HE SAME TO BE TRUE AND CORFECL ALL <br /> PFOVISIONS OF L.IWS AND OFDINANCES GOVERNING THIS TYPE OF WORK bVILL BE COMPLETED WHETHER SPECIFIEO HEREIN OR <br /> NOT, THE GRANTING OF A PEFMIT DOES NOT PFESUAIE TO GIVE AUTHOR/TY 70 VIOLiTE OA CANCEL THE PROVISIONS OF ANY OTHER <br /> SrATE OA LOCAL LAW REGUL.ITING CONSTFUCT/ON OF THE PERFOFI.?ANCE OF CONSTAUCTION. THAT I AAf AUTNORIZED BY THE <br /> Olh'NEF OF THIS PROPERTV 70 PEFFOFM1I THE WOFK FOR 4YHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LAIN 78.27 RCIYAND 290200 tNAC. <br /> ��'�� � .� �, -�;` . r '12c'r/ -�c',l,�/ FEE <br /> Signatura Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �C.�v '��3� <br />