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ELECT{► �ICQ►L PERMIT APE �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR Sl'REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �//�S" l�9�%�f �l/� <br /> PROJECT ADDRESS <br /> �i�,��tir�c� s��pc Y <br /> O�vner Mail Address City State2ip Phone <br /> �!r',�i/v�C�' S�`l/I�� <br /> Tenant Mail Address City State2ip PhoneqZ.� <br /> ,/-�r_,vK��s f /���� �i�s �lc/% l?c� �'C�c BcCc ��4 ���zz ,�j S' <br /> � <br /> Electrical Coniraclbr Mail Address City StatelLip Fhone <br /> I��NK ��h I 9�4��'l- ��,svo <br /> State License Number Contract rice of Work <br /> Q�T A r C �Ae K -.b�ln,�sc,� <br /> Proposed Use ol Building Contacl Person (Plan Review) <br /> Descnption of Work to Be Done: L ptJ 1�6�%A�{ �LJEi k�0/2K ���/A�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAI, FACILITIES UTILIZiNG STATE FUNDS MUST BE <br /> APPROVED BY ?HE STATE OF WASHiNGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-n6-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES C�� WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MlNII�IUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMEN7 1NITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNI'ED 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 HEFEBY CERTIFY THAT I HAVE READ AND EXAMMED THIS APPL/CATlON AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GCVEANING THIS TYPE OF W0I3K WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PpESUME TO GIVE AUTHORITV TO V�OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTRUCTION OA THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIa PAO^ERTY TO PERFOFM 7HE WORK FOA WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LAW 78.27 FCW AND 296,200 WAC. <br /> � � <br /> / , ( (�'i_;- - " FEE <br /> 1? <br /> � <br /> , Signature , Date _ <br /> DEBIT& �REDIT CARDS ARE NOT ACCEPTED ' <br /> �G ���� ' �j' <br />