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ELE fRICAL PERMIT ArPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> /����' 'T �� �o,a ;� <br /> PROJECT ADDRESS .��� <br /> _r,,;;':n;i !-lr�� , 1 c: S Qo /3b�7 i�r�� c.izetlL i �?- �l6� �42 ��t' 2b'9� <br /> Owner Mail Adtlress City Slate2ip Phone <br /> Tenanl Mail Adtlress City State2ip Phono <br /> _ (T�( 1(ht �-2�'L � �VL <br /> Electncal Contractor Mail Address City Stele/Zip Phone <br /> State License Number Conlract Pnce ol Work <br /> S % iL <br /> Proposed Use of Building Conlact Person (Plan R2view) <br /> Description of Work to Be Dane: ��(;W rj �["IC ��r��Lt f, S ��lG �' <br /> NOTE: PLANS FOR ELECTRIC:,qL WORK AT EDUCATIONAL, FACILITIES UlILiZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WA�HINGTON. 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 BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE(�UIRED 70 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 A�OVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIFiONP�1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONU 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 READ AND EXAh11NED �HIS APPLICATION AND XNOW THE SAME TO BE TRUE AND COAFECL ALL <br /> PFOVISIONS OF LAWS AND ORD(N.iNCES GOVEFNING THIS rYPE OF WORIC W/LL BE COMPLETED WHETHEfi SPECIFIED HEREIN OR <br /> NOT, 7HE GRANTI,'VG OF A PEFM1fIT DOES NOT PFESUME TO GIVE AUTHORI rl'TO VIOL4TE OR CANCEG THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL U7W FEGUUITING CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PEFFOFh1 THE WORK FOR tNHICH APPLICATION IS MADE AND I COMPLY INITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> /'� <br /> i r/ . <br /> _ � , �:�.�..�.. `._-- a3-o� 6 � FEE <br /> Signature Date <br /> DEBI7&CREDIT CARDS ARE NOT ACCEPTED �.�'3(73 -Q�� <br />