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ELECI �{ICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ,��1� PP�.�,� ,�' <br /> �,3u� �< <�-e� :/( GE'�z �.�1����/�y -�'4f�il- ��37 <br /> PROJECT ADDRESS <br /> Owner Mail Address Ciry State2ip Phone <br /> s�,-��, ���-�� � <br /> Tenan� Mail Address Ciry StateQip Phone <br /> � , <br /> 55�c '.�rk' C. %�'c��C''� �'"� n'�x •ZbJ ��J/ un,;bG. L✓/� �cY�f` S'1a--�.JY-/YJs — <br /> ElecUical Contractor h1ail Addross Clry State2ip Phone <br /> �J__1._1L.�-11 r c" � d Y I✓� ��°J `— -- <br /> State License Number Contract Price of Work <br /> ������ � ������ Conlacl Person Plan Review <br /> Proposed Use o 8uilding ( � <br /> Description oi Work to Be Done: /.(J�.� il.�(u-7 C���J(.1 �' !��'�t N�f w ��(1�•�'��.�� <br /> l C� �'UC .i'L rv� ) <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W ITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 8E 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 RACE'NAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> \NIThfIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUh4 <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> FNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 5E MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 310c(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> i rfFFEdY CEFTIFY THAT 1 HAVE READ AND EXAhfINED THIS APPLIC4TION AND KNOW THE SAME TO 6E TaUE AND COFFECT. ALL <br /> PFOVISIONS OF WWS AND OADINANCES GOVEf7NING THIS tl'PE OF WORK WILL BE COh1PLETED WHETHER SPEGFIED HEAEIN OR <br /> 1'OT, THE GRANTING OF A PEFMIT COES NOT PFESUh1E TO G7VE AUTHOFITI'TO VfOL77E OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STA i E C(i LOCAL LAW REGUl..4TING CONSTFUCTION OR THE PEFFOFh4ANCE OF CONSTRUCTION. THAT 1 A61 AU7HOFIZED BV TNc <br /> ClI�dER CF THlS PFOPERTY TO PERFOR61 THE LYOFK FOR WHICH APPLICATION IS MADE AND 1 CO,'�1PLY WITH 7HE S7ATE <br /> ��,V i:�AC70RS LAW 78C7 RCW.4N0 296.200 WAC. <br /> �. <br /> i; ';%�r,/' � � U �1 u�� �,�J.S FEE <br /> Signature --�Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED �G'SG l`C � `I <br />