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ELECT��� �ICAL PERMIT AP� �ICATIC�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ 1t�0�� <br /> PROJECT ADDRESS <br /> NE�r�nv s�'r�ion� ��G�� ��4 . �ias 3s6-�.s4� ; <br /> Owner Maii Address Cily State2lp Phone <br /> �'t w� P �b y✓J9 �`'�C,p1'�J'�/ �tvc . <br /> Tenant Mai�Address City StatelLip Phone <br /> �uv �2 V <br /> Eleclrical Conlraclor Mail Address City StatelLip Ph�ae <br /> State License Num6er Contract Price oi Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��G���i-e �a�� / <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 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 W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CAELE. <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 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <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 FLOOR. <br /> 1 HEREBY CERTIFV THAT 1 HAVL-'READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORFECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A PEHMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTIOPJ OR THE PERFORMANCE OF CONSTRUCTIDN. THAT 1 AM AUTHCRIZED BY THE <br /> OWNER OF THIS PHOPERTY TO PEAFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> ��(2� i �l?vii� ��' I E� — � 1 FEE <br /> J�^'�' <br /> SignaWre \� Dete <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED /���p� � CS�� <br /> «� <br />