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h1RY-02-2011 08:28 From: <br />To:425 257 8857 P.1/2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />(ice 1 r / <br />PROJECT ADDRESS <br />jC C I/7Sr_ Lrio�� <br />Uwr.3r i Ltail address City State/Zip Phone <br />i <br />i <br />T Want Mau Address City _ State2ip Phone <br />HOC Weal Contractor Mail Address City r Iateaip Phone <br />c,we-rE5'� � /Cis (3�oT &51— l9� <br />Stale License Number C ntract Price of Work <br />Proposed Use of 13uildling Contact Person (Plan Roview) //-- <br />• �v r,9 D.s rrvrw ��� c� P�! d n /� C� ��aM•�-" nn�nnnYn..�..1 \Nnr4 to R� nnno• <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS N1US' BE <br />APPROVED BY THE STATE OF WASHINGTON• APPLICANTS WITH SUCH JOBS MUST SHOW THE SATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PEaMIT 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: WIIRING 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 IaOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51.20 SEC. 31061c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES CF 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 <br />I HEREBY CERTIFY THAT I HAVE READ AND <br />9TY TO I <br />RCIN AND <br />I I v ... .. <br />Signatu r <br />DEBIT R CREDIT CARDS ARE NOT ACCEPTED <br />'UCATJON AND KNOW THE SAME TO BE TRUE AND CORREC7• ALL <br />OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />I UTHORI T Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />AFORMANCE OF CONSTRUC770N THAT I AM AUTHORIZED BY THE <br />WHICH .APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />SZ� FEE <br />Date I <br />