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ELECT <br />ICAL PERMIT API-�ICATION <br />CITY OF EVERETT PERMIT SERVICES q�.- ' <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />2/c�I n���C>�'�/ <br />PHOJECT ADDRESS <br />�-�V �n<a.5�uc f� o<✓ �,o> 7� %/U � �Na.-�SN%r �u7- 9�70 3E�'�S/-��r`� <br />Owner Mail Adtlress Ciry State2ip Phone <br />Tenanl IAail AAdress City State2ip Phone <br />1.S c>/ 7� 5' S� i_�-�.,,e�i i��.f `r�kj/ j3s S..T�i 7 <br />Electrical Conlractor M,�il Address Ciry State/Zip Phone <br />QS� £L �.x 4+,zz 3Z <br />State Licensa Number <br />�c-<=�� 1��.3�_ <br />Propcsed Usc of Buiidmg <br />Description ol Work lo Be Done: %% JS S ��-� <br />��'� �5-cer.:: i� <br />G<% v <br />Con ract Price of Work <br />Contact Person (Plan Revielv) <br />Sc.,. i <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />?,PPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW iHE STATE <br />APPROVED PLANS BEFOFiE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL H[ALTH 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 />HANDICAPPE� ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIE3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLVOR. 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 5,•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CERTIFY THA7 I HAVE FEAD AND EXAhIhVED THIS APPLICATION AND KNOW THE SAA1E i0 BE TRUE AND COFFECT. ALL <br />PFOVISIONS OF LA WS ANO OFDINANCES GOVEFNING THIS TYPE OF WOFK WILL 6E COAfPLETED WHETHER SPEGFIED HEFEIN OR <br />NOT, THE GFANTING OF A FEFM1IIT DOES NOT PRESUM1fE TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />SiATE OF LOCAL LA W FEGUL;7TING CONSTFUCTION OR THE PfFFOR,VANCE OF CONSTRUCTION. THAT 1 AM11 AUTHOFIZED BY THE <br />OIYNEF OF THIS PROPEFTY TO PEFFOFhI THE WOFK FOR LVHICH APPLICATION B MAOE AND 1 COM1IPL� WITH THE STATE <br />CONTFAC70R5 LALV 18.27 RCbV AND 296.200 IYAC. <br />� <br />) <br />_ ,_C zz,-. <br />Sit�natUre ,i <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />FEE <br />E l�`'� ���' ���f <br />