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ELEI;TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA g82p1 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �G1 l l� -- T-� lal,�� �1u.� - <br /> PROJECT A9DRESS �ZS-LSZ"SY,OY, <br /> �nc4e a- Cla� l� -- ��t I � - Tula_��� flitie E���-�=t�l� ��E_ �i f3ZD(— <br /> Owner Mail Adtlress City StatelZip Phone <br /> �— <br /> Tenanl Mail Address Cily StatelLip I–����`Z� �e <br /> 7�l I,u �le�{-�-'G � � n� i� JozzB- zS� �_� �"cte,ewc�J wq , Ss35�z <br /> lecirical Contraclor Mail Address City Sta6�2ip Phone <br /> b(�-�LSU(SLK — ci! cz� <br /> State License Number Coniraci Pnc�otOWork <br /> �vtc.�e �.L�l�•.( �P 5 - <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: (��w �..� p} ��pu�� r�Lc� , <br /> �TL�c �(�f-�-cck,t �C ci.r,l vLtic.le�. fLcse,� f� (2e��vt - <br /> 12.�� -.�,.��� � ��� E` (� I� � <br /> � — <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 STATC <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEAL7H CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-OWELLINGS 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 AI.ONG 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND EXAh11NED THIS APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONF OF LA WS AND OFDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NGT, THE Ln.:NTING OF A PERMIT DOES NOT PFESUd1E TO GIVE AUTHOFI7Y TO VIOLATE Ofl CANCEL THE PFOVISIONS OFANY OTHER <br /> ST,'�7E OR LOCAL LAW REGUL:ITING CONSTFUCTIOf! OA THE PERFORM1IANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF TH PFOPERTY TO PE�4FOFM THE WORK FOR WHICH APPLICA710N IS MADc AND I COMPLY WITH THE STA7E <br /> CONTRA�RS tN 1 dP7-Fa W AND 29620 W C. • <br /> J <br /> c � � ,� r z /��7 �3 <br /> —� _� FEE C��C� <br /> J <br /> Signature Oate <br /> DEB;T& CREDIT CARDS ARE NOT ACCEPTED ��"�/ h -0 y/ <br /> .��v- <br />