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ELEC'i RICAL PERMIT A��LICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 4L5-257-8857 <br /> JDIZZ _._f�T �2 S� <br /> PROJECT ADDRESS <br /> �ti �A-�i ��nl��r�o,�� Sv� 7 �/ c�ul /��'` �'�/e�� «/.�t 98�7d3- <br /> Owner Mail Address City State2ip Phono <br /> -l-�l-`�� � 3 � ��h�� <br /> Tenant Mail Address City State2ip Phone <br /> Eleclrical CoNracto� Afail Address City State/Zip Phone <br /> State License Number Conlracl Price of W ork <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> Descriplion o1 Work to 8e Done: C�D� 1��� (�V�/C��{�Ifb`� e�/��/l/C�'1 /�f�/1/��/Di✓S <br /> v <br /> `�b f� _ � � � f� �O /� � <br /> `��.�� .��✓i � �e � -���, � z -m�, <br /> NOTE: PLANS FOR ELECTRICAL WORK �T EDUCATIONAL, FACILITIES UTIL'ZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE nF �VASHINGTON. APPLICANTS WITH SUCH J03S MUST SHOW THE STATE <br /> APPROVED PLANS B[FORE CITY OF EVERETi PERMIT WILL B[ ISSU[D. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY TI�IS OFFICE. <br /> NOTE: WIRING IN NON-DWE�LINGS IS REOUIRED 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 /> ENVIRONh4ENTAL AND OTFIER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIf3LL= SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEL �:'ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)3 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FL'JOR. <br /> I HEFEBY CERTIFY THA7 1 HAVE FEAD AfJO EA'AIdINED THIS APPLICATIOM1'AND KfJOIN THE SAf.1E TO BE TRUE AND COFRECL ALL <br /> PROVISIONS OF LAtYS AND ORDINANCES GOVEFNING THIS TYPE OF INOFK WILL 3E COMPLETED WHE—HEA SPEpHED HEREIN OR <br /> h'OT. THE GFANTING OF A PEFh11700ES NOT PFESUh1E TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> SiAiE OR LOCAL LALN FEGUL4TlNG CONSTiiUCT10N OR THE PEFFOFh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> �4t5'VFF OF THIS PROPEn^TY TO PEFFOFI! 7HE WOFK FOF WHICH APPGCArION IS MADE AND I COM14PLY WITH rHE STATE <br /> �ONTRACTORS LA lV 7H.D i7CW AND 29v".:00 V✓AC. <br /> i <br /> �.. .� � �(T Y -D�- FEE <br /> ` Signaturo - Date <br /> �ZV308-a1z <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br />