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ELECTRICAL PERMIT AN JCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />l:*& tazo PARK u A <br />PROJECT ADDRESS <br />015oiy 617 3V51-. l=V. 98zO/ 2.58- 4977 <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />I=tr. 3zol A tiuK;c%e <br />Electrical Contractor Mail Address <br />I GUP!i Q� <br />State License Number <br />.`l- F-D <br />Proposed Use of Building <br />city Slate Zip <br />City State/ZiP <br />> rS L,Vv. 6 ✓- 163 2S2-.2 <br />Phone <br />Phone <br />State,ZiP Phone <br />Contract Price of Work <br />0 L VAGEtib;u% <br />ontact Person (Plan Review) <br />Ta'e:- - £'4-. 2 ee - i4 -3 0 8455'R <br />Description of W ork to Be OiM: �y e Lti 7eRyoc e PAye its - w o pPl§ NC C.s w o p r ( 1 i %C lI C.0 �. <br />r <br />iAv <br />"Lr <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 REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON -DWELLINGS 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 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 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I <br />PROVISIONS OF LAWS ANI <br />OWNER OF THIS <br />CONTRACTORS LA <br />Signature <br />WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />IS APPLICATION AND KNOW THE SANE TO BE TRUE AND CORRECT. ALL <br />i TYPE OF WORK WILL BE COMP-1 C7ED WHETHER SPECIFIED HEREIN OR <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />FOR Wfi;CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />FEE <br />7 <br />