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ELECT� .ICAL PERMIT API- �ICATION <br /> CITY OF EVERETT RERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � S'0� /1iz�P�c7// C.�rc� � �A.c�F�..,A �, <br /> PROJECT ADDRESS <br /> �u �i� i?� <br /> Owner Mail Address City State/Zip Phano <br /> 2� ��, re -� <br /> Tenanl Mail Address Ciry State2ip Phono <br /> �ssouEtk�� G�/�.•�,U� T u- .G�k ,� PO S.�o���c.,�G, l.�✓° S�i�3'i S�ls-�.Tr� �S'ss <br /> EleCtrical ConlraC�Or Mail Address Ciry State2ip Phone <br /> {�ss:;�.�� o�s �� _ �3 �' F��o �J <br /> State License Number Contracl P ice of Work <br /> Vry+�r� � l.�.'A 2'r/;c.J t� <br /> Proposed Use Building Contact Person (Plan Review) <br /> Description of Work to Be Done: {U��..J �t}'�=!w� / ^c,u�.X.K ��%J Td.h, C�iZ..i <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 WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS 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 EQUIPMENT 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 IfJCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CER7IFY THAT 1 HAVE READ AND EXAhfINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOV/SIONS OF LAWS AND OFOINANCES GOVERNING THIS T1'PE OF WCFK WILL BE COMPLETED 11'HETHER SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PEFMIr DOES NOT PRESUh1E TO GIVE AUTHGFITY TC VIOLATE OR CANCEL THE PFOVISIONS CF ANY OrHER <br /> STATE OR LOCAL LiW REGULATING CONSTRUCTION OR THE PERFORM14ANCE OF CONSTP.UCTION. THAT 1 AM AUTHORIZEO BY THE <br /> OLYNER OF THIS PROPERTY TO PEFFOFM1I THE WORK FOR WHICH APPLiCATION IS h1ADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 290.200 IVAC. <br /> � <br /> �Cv7: �w . � ,,,_,, �//�DS��y� /�_ FEE <br /> _`t` <br /> Signaturo Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ��`��� - (%,;> < 1 <br />