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ELEC 'RICAL PERMIT A� ?LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425-257-88•�7 <br /> ��v2 '� �n C��1' ��,CLG-�(/� ./�C./(� <br /> PROJECT ADDRESS �E(C2/�-✓t-C �, <br /> l?�'20' Y�/ ia3 A ,c�G. ir� s� �r�/�TTL� 4��9a�o� <br /> Owner Mail AdCress Cily Stnte/Zip Phone <br /> Tenant C,S� Mail Address Ciry State2ip y;y—_3�� 30� <br /> / / .3/ ;�T�i�5.� � <br /> 1��/{A �c�.�rl-c A r��r�� F ��z,: rT ��P- 9�p� ,� <br /> EleCirical ContraClor Mail Address Ciry State2ip Phone <br /> ��/!//O�� /,T.S— — %�7l'O n�= <br /> tate License Number CoNracl Price ot Work <br /> %�a��c E - �J«rc���.�� G . �r� ,�.�i�i�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��v /� ►'" 9.L/t' L �-%�'uf/ C�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 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 CONMUNICATIONS 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 /> ENVIRONMENTA� AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALC�NG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 ScC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATlON AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TYPE OF WORIC WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NCT, THE GRANTING OF A PERM17 DOES NOT PRESUME TO GIVE AUTNOFITY TO VlOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LiW RC-GULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED 8Y THE <br /> OWNER OF THIS PFOPERTY TO PEFFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WlTH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> �.. �� ���� FEE <br /> _/ ✓ � `y� �� <br /> Signature Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTELi G��D y-�•� � <br />