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ELECT'KICAL PERMIT API-�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX i25-257-8857 <br /> --o a-� <br /> '�//0 /�-fElZlz I LL ��Z��7C /�i`��2t<<,.��1-Y <br /> PROJECT ADDRESS <br /> /�LTR--�Ca�ZP �ZE�IG E5i ZS-OS� �'J l�11/� �A�� (/�-�'Q - �JSIZ ( <br /> Owner tdail Adtlress City State2ip Phone <br /> ����7� ��h'Nv�vGY _ <br /> Tenan� Mail Address City State2ip Phone <br /> s.,�, ��,��. �f 5���,��c �z8 ���ar� n�. s . st,�rc�. �,��� �iL r ��l 20� sz� zo4� <br /> Electrical ConiraCtor Mail Address City State2ip Phone <br /> 5MflN5�` �� G D� � �3C; c� <br /> Slale License Number Comract Price of Work <br /> ( (-Y�l' <br /> Proposed Use of Building Contact Person (Plan Revie�v) <br /> Description of Work to Be Done: j/r�-Z �_ ./— ��%Kt .`jC7Zv��t <br /> � � `��,�-?�; 3 ;2��) <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•DNIELLINGS IS REQUIRED 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 TRAVEL SHALL BE MOUNTED A A9INIMUM <br /> OF 15 INCHES ABOVE THE FLOJR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL 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 /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I !iEnEBY CERTIFV THAT! HAVE READ ANO EXAMINED THIS APPLICATION AND KNOLV THE SAM11E TO BE TFUE AND COFFECL ALL <br /> PnOVISlONS OF L7lh�S AND OFDINANCES GOVEF/JING THIS TYPE OF WOflK LYILL BE COM1fPLETED WHETHER SPECIFIED HEFEIN OA <br /> NOT, THE uFANrING OF A PERMIT DOES NOT PRESU64E TO GIVE AUTHORITY TO VIOL4TE OF CANCEL THE PF,OVISIONS OF ANY OTNEF <br /> SL4TE OR �OCAL L7W AEGUL:ITING CONSTnUCTfON OF 7HE PEFFORA1ANCE OF CONSTFUCTION. THAT 1 Ah1 AUTHORIZED BY THE <br /> OFL'NER OF THIS PAOPER'fY TO PEFFORh1 THE 4VOFK FOR NHICH APPLICATlON IS R9.4DE AND 1 COh1PLY WITH TNE STATE <br /> CONTRACrORS LAW iB27 RC6V AND 296200 WAC. <br /> � � ���ZI�7 FEE <br /> � <br /> Signatura Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED .�G4 C `�'O�'c� <br />