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ELECT`� �ICAL PERMIT AP� �:ICA TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VVA 98201 <br /> 425-257-8010 - FAX 425-257-8857 <br /> i9 / 7 �«�'-es �v�'_ <br /> PROJECT AD RESS ` � <br /> ` 1S�'�,�' " �D'rF�s,�� � (�� � C' �G,r s l-��,L Gtfz,^t�(T <br /> Owner Mail Address City State:Zip Phone <br /> TenaN Mail Address City State2ip Phone <br /> �i %-�7"��SGiov� ���-f-� �(�U5 ?�1/i?� Sw ��`�'c' r- G�/� rsd�07C� y2s'/�//`r�� <br /> EleclriCal CoNraclor Mall Address Ciry State/Zip Phone <br /> /Uo2T�F� � 3 7.7 L �soa,o� <br /> Slate License Number Contract Price of Work <br /> �Ci1f c�x 1� � <br /> Propesed Use of Building Contact Person (Plan Review) <br /> � �/ � <br /> Description of Work lo Be Done: • � 7�/� �c� ��J '� C��t' /'�� ictFz�-•-� l=Lc�z7" `5 � � <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 iHE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL �ACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED Bl'THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQU!RED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> liANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WAI_LS <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 CONT�.�1L F+ti,�PTACLES 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(b1a E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CEFTIFY TNAT 1 HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW iNE SAh1E 70 BE TRUE AND CORRECL ALL <br /> PFGVISIONS OF L7LYS AND OFDINANCES GOVERNING THIS TYPE OF IVOFK IVILL BE COMPLETED INHETHER SPECIFlED HEREIN OR <br /> �VOT, THE GRANTING OF A PERh11T DOES NOT PRESUh1E TO GIVE AUTHOFlTI'TO VIOLATE CR CANCEL THE PFOVISIONS OFANY'OTHEF <br /> Si.7TE OR LOCAL WW FEGUWTING CONSTFUCTION OR TNE PEFFOFh1ANCE OF CONSTRUCTION. 7HAT 1 AM1f AUTHOFIZED BY THE <br /> OIYNER OF TH/S PROPERTY TO PEFFORM11 THE lh'CfiK FOR ll'HICH APPLICATION IS IdAL'E AND I COh4PLY WI7H 7HE SrATE <br /> CCN7FACTORS LAW iB.27 ACW AND 296.200 WAC. <br /> ✓� c� tJ' l�' l / 4 i, <br /> -�.,z < <,� !:��, �✓�»� ��, �� FEE <br /> Signature Date <br /> / <br /> DEBIT&CREDIT CAR�S ARE NOT ACCEPTED y��( � o�� <br />