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ELEC� 'RICAL PERMIT A� ?LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Mf,C�,�icv�nt�-- �X03o3-oc] <br /> i 330 �o�k�F�.<<�,� �J� . .15� �n„� <br /> PROJECT ADDRESS <br /> }�i�L1w d e��c e C z� rv�E� cT; <br /> Owner Mail Address City utate2ip Phone <br /> ��i � t �[)c.i��-1 t`hJ5 fN��,24Tt� F W�Q �7�i ZU / <br /> Tenant Mail Address Cily Slate2ip Phone <br /> �, ,� ���„ �,,,,,,�� ,� �� 3y3� At,.�,�,-`t i�,- 3e11,��„ ��/� g��z� ,�o ��y-�oo <br /> , <br /> �� <br /> Eleclrical Contractor M �i Address Ciry Stale2ip Phone <br /> j�/r�rNo�3�DUGA'�� �5�,ov� <br /> State License Number Contract Price of Work <br /> �'!9k�t1/l rl2 o�r�� n'v;t o i�✓� ,��aT/c 4 ,./ �o.�5 T,q-nir- <br /> Proposed Use of Building Contect Person (Plan Review) <br /> Description of Wark to Be Do:ie: 13 - Z y ✓ ���r v�a c�n� �oe����n s Str���nn I�11�A C <br /> 5 l•��N7 C <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 E�UIPMENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIFD HEF?EIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI SIONS OF ANl'OTHEA <br /> STATE OF LOCAL I�iW REGULATING CONSTFUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMP!V WITH THE STATE <br /> CONTFACTORS LAW 78.27 RCW AND 296200 WAC. � <br /> � <br /> l �'��— 3 2�' v FEE 3 S cu <br /> � ignature Date <br /> DE�&CREDIT CARDS ARE NOT ACCEPTED ��3 03 -i� a <br />