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ELECT� �ICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />5200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PROJECT ADD ESS <br />;(� I � c'�= k-�` I- �L(C=l� <br />Owner <br />�_ . <br />Tenant <br />Mail Address <br />tdail Address <br />Contraclor Mail Address <br />��'1l�/ �N,�'SCiI L�1L-Y'/�'(' 2.5�/.Z / /�/1 <br />State License Num6er <br />�"1,'( ST/�C.��-�' <br />�Cf' � i hF'�l_ % L.'>� i/ Yll <br />Proposed Use ol Building <br />1��� r�?�� i <br />City <br />City <br />City <br />Af? ,�� ,G <br />State2ip Phone <br />wa `���o r <br />State2ip <br />l,(�i� �' �i- <br />State2ip <br />s=-zrz �-e"�� <br />Phone <br />z 5 —7�2.- ��� <br />PhoRfl y <br />�zs-377-/i� <br />5 �f yzS•33�'-27� <br />Contact Person (Plan Review) <br />Descrip�ion of Work to ee Done: f'1 %�7�L�C� �L�')r_� l�/ C' � i� ��/�fj lJ�`— �/�Ii/1 �G¢'� ��LT,J <br />�" � � c9-f"� f�'i2t� .. <br />NOTE: PLANS FOR ELECTRICAL WORK AT,�DUCATIO_NA�L, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON`-APPLTCATJTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS B[FORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLA(JS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />�iANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUPA <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 />I NEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPL(CATION ANO KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF WORIC WILL BE COA1PLETED WHETHER SPECIFIED HERE/N OR <br />NOT, THE GRANTING UF A PEFMIT DOcS NOT FFESUAIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOKS OFANY OTHER <br />S'fATE OR LOCAL LAW REGULA TING CONSTRUCTION OR THE PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PEAFOHM1I THE WORK FOR WHICH APPLICATION IS MADE AND 1 COM11PLY WITH THE STATE <br />CON7RACTORS LAW 7H.27 FCW AND 2�6.e"00 WAC. <br />DE@IT & CREDIT CARDS ARE NOT ACCEPTED <br />FEE <br />.� C>L�l�� � lb� <br />