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�--- ELECT ICAL PERMIT Ap ICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 372L Un)ani�I �ii� <br /> PROJECT ADDRESS <br /> �ol�,,�� ��u+o,v 3)S (' 2own/ D�21vE �V6�2ET7 G,iA S�ZS- .258-9177 <br /> Owner h1ailAddres5 City 9�ZD$ State2ip Phone <br /> �f-�-�--- <br /> Tenanl hlail AAdress Ciry State2ip Pnone <br /> bl.U/JEIZ <br /> Elr.Ctrical ContraClor Mail Address City State2ip Phone <br /> State Llcense Numher Contracl Price of Work <br /> Proposed Use o�Building Contact Person (Plan Review) <br /> Description ol Work to ee Done: �nv)n PDu/PrC �n S�nit7 1?Piwfn�P 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 STATE <br /> APPROV[D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND AL;.HEALTH CARE FACILITIES PLAF:S W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAIJDICAPPED 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. 1NAC 51•20 SEC. 3106(c)2. <br /> ENVIHONMENTAL AND OTHE9 CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPAGES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BG MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b�4 E S F AND NOT LESS THAN 3(. INCHES ABOVE THE FLOOR. <br /> � HEREBI' CEATIFY THAT I HAVE REAO AND EXAIdINEO THIS APPLICAtION AND KNOW THE SAMF 70 BE 7AUE AND COFBECT. ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYFE Or LL'OFK LYILL BE COMPLErED W.HETHEF SPFCIFIED HEFEIN 0�4 <br /> NOT, THE GFANTING OF a pEFM111T�OES NOT PFESUME TO GIVE AUTHORITY 70 VIOLA7E OA CANCEL THe PFOVISlGNS OF ANY OTHER <br /> STr1TE OR LOCAL LAb� REGULATING CONSTFUCTION OR THE PEFFOFRIANCE OF CONSTRUCTfON. THAT 1 AM AUrHORIZED BY THE <br /> OV✓NEA OF THIS PFOFEATY TO PEFFORM1I THE INOFK FOR IVNICH APPLICATION IS M1fADE AND I CORIFLY WITH THE STAiE <br /> CONTRACTORS LAW 78.27 ACW AND:^0200 LV�C. <br /> � <br /> ;!������—�' S-29-oy Fee <br /> Signaturc Date <br /> DEBIT&CREDIT CARDS ARE N01'ACCEPTED ����S ���' <br />