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ELECT`r �ICAL PERMIT APF `ICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-?_57-8810 - FAX 425-257-8857 <br /> 1 �33o i2A ,vci�o P � <br /> PROJECT ADDRESS y zs <br /> Mn-,��k�r� c�,�2rNc�� �a3o �.au�� �� Fli�r�,EiT u.� 9�.z� y 3ss�-yq/S <br /> Owner Mail Address City Stete2ip Phone <br /> Tenan! Meil Address City StatelLip Phono <br /> `(�5�.�Sy <br /> �k�N�f� s,� s' 3�o I �Li�2�iT ,�-uE ��,�2� ��� 9�ao� z�c i <br /> Electrical Contraclor Mail Address � StatelZip Phone <br /> ��L� �ISS /yZ C/' <br /> State License Number Contract Price of Work <br /> SE�Z <br /> Proposed Use of Building Contact Person (Plan Review) <br /> / <br /> Description of Work to Be Done: C IJ�/F/�/C �( S!(,/Z1�ICf,� ��� j�l��L �/`F� /2�l C S <br /> /N lc� iZ NT�t�/, 3�!i't�'/1 c-�� _� �-Ni� o c,?s�0�i_ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPRObED BY THE STATE OF WASHINGTON. APPLICANTS V�'!TH 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 RE�UIRED 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 MINIMUI�A <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL PND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALOI�G ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITF'IN 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 CEATIFY THAT 1 HAVE FEAD AND EXAM1IINED THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF L4W5 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CCMPLETED WHETHER SPECfFIED HERcIN OR <br /> NOT. THE GRANTING OF A PERh11T DOES NOT PqESUME TO GIVE AUTHORITY Tp VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATF OR LOCAL L7W REGUL7TING CONSTRUC710N OR THE PERFORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORI2ED BY THE <br /> OWNER OF THIS PFOPERTY TO PEFFORM1I THE WORK FOR WHICH APPLICATlON IS MADE AND 1 COMPLY LYITH THE STATE <br /> CONTRACTORS LAW 18.27 FCW AND 296200 WAC. <br /> �t ( l/ ���� S � FEE �/� O O <br /> J <br /> / Signeture D a <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �� ��-S _� � <br />