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; <br /> ELECTRICAL PERMIT Af�'r- LICATION <br /> CITY OF EVERETT PER9WIT SERVICES <br /> 3200 CEDAR STREET, EV:=9ETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �DO � Ph�lF[G /41/� <br /> PROJECT ADDRESS ��"Z�� Y� <br /> �vGTcr' f'o.�.t1/� 1 (-U�IfGY CT�I- lonS t�/�fFlt 1�Y�c. 1�11lf�� (,(.i4� �93' <br /> Owner Mail Adaress Ciry stete/Zip phone <br /> Tenant MailAddress Ciry Stete2�p y?hme <br /> �l'�auGl1 sxS P�'+34c � ��1�7�4t�F'c Fc"v+�hFcfi �/n- °lFio, ,�s�z�¢,�, <br /> Electncal Contractor Meil ACdress City Stere2ip Phone <br /> ��c-�+nrss �y2 �p l. Y97 � <br /> Stete License Number Contract P ce of Work <br /> Proposed Use af Building Cantact Person (Plen Review) <br /> Description of Work to Be Done: � �[ y�� �., ( (7� � �t/(�'(� �l� ��{Lf�h,4 �n{' <br /> ��T�d.Y N�r —� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATF_ 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 REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATION5 SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES AFOVE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br /> EN�IRONMENTAI. AND OTHEA CONTROL RECEPTACLES AND OTiiER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPP,CES OR ALONG ACCESSIBLE RUUTES 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 /> I HEREBY CERTIFY THA?I HAVE READ AND EXAMINED THIS APPLICATION AND KNOY{' THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISICNS OF LAWS AND ORDINANCES GObERNING THIS TYPE CF WORK WILL BE CO�dPLETEO WHETHER SPEpF1ED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO G/VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> STATE OR LOCAL LAIN REGULATING CONSTRUCTION OF 1HE PERFORMANCE OF COh'STRUCTION. THAT I AM AUTHORIZED BY THE <br /> 04YNER OF THIS PFOPEFTY TO PERFORM THE WORK FOR WHICH AFPLICATION lo' MADE AND 1 COMPLY WITH THE 57ATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br /> ���� �2 � FEE � �3 <br /> Signature �i Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �G �O q _ C�� � <br /> l <br />