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ELECT�-►ICAL PERMIT API- �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> C�os D� YP��i� c-v �2��,i <br /> �P OJECT ADDRESS � 7 � <br /> c�{� Ii ��� S , IPY�,%2c-�O ('�b�J OLY/ �/G �'L/P/a / <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address Ciry State2ip Phone <br /> A�t1E� z �is � '��f" �s� .��ri �k'����,� w9 ��.zz3 <br /> Electrical Contractor Mail Atldress Ciry State2ip Phone <br /> /-�/Ll �Tl=C O��1 �C'� G U Oc� <br /> Stale License Number Con ra Price of Work <br /> ���C, C� C_ C- /2. � 7 <br /> Proposed Use ol Building Contact Person (P!an Raview) <br /> � <br /> Descriplion ol Work to Be Done: Q/L��� L �- � �Lr A �C(Jr / 7�i c •G <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE F'J�:DS MUST BE <br /> APPROVED BY THE STA',E OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SH�W THE STATE <br /> APPROVED PLANS BEFORE CITY OF �VERETT PERMIT WILL BE ISSUED. WAC 296-46•1�0. ALL OTHER <br /> EDUCATIONAL FACILITIES AND AI.L HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY TFiIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS 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 TRRtVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> EPJVIRONA9ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RA�GES OF WAC 51•20 SEC. 3106�b�4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAM17INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF LAbVS AND CFDINANCES GOVEFNING 7HIS 'fYPE OF LNOFK WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br /> NOT, THE GFANTINCv OF A PEFMIT DOES NOT PFESUAIE TO G!VE FUtHOR17Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAIt� REGULATING CONS7FUCTION OR THF_ PEFFORMANCE OF CONSTFUCTION. LHAT I AM AUTHORI2ED BY 7HE <br /> OWNER OF THIS PFOPF_RtY TO FEFFOFh1 TNE LNORK FOR WHICH APPLICATIDN IS MADE AND 1 COMPLY INITH THE STATE <br /> CONT tOFS LAIN 18.D FCW AND 296200 LVAC. <br /> 9 <br /> — � <br /> / � � ��� FEE <br /> d <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NO ACCEPTED � �y��_c ,� <br />