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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 /> ��\�1 ���c�1,Pc- ��� ��(�..� <br /> PROJECT ADDRESS <br /> 1h�� �s� �.�_( 1�1 ��c�e� l�� F�e I�- 1�1f�- .� <br /> Ownet Mail Address City Stete2ip Phone <br /> � <br /> Tenant Mail Address Ciry StetelLlp Phone <br /> W�,z���s� Pas��tl���.� N��e �+lern c.k�i CI; n{� C��� R�a36 ��`E��7a� <br /> Electrica�Contracto Mail Address Ciry StatelZip Phone <br /> W�1T�ll��-17a�� �'02� IW <br /> State License Number Contract Price ot Work <br /> _S� n�,l� �r.rv��lY �t_.���i1� �r�r�����an T . �hfL�n <br /> Propose se f Build Contect Pers n (Plan Review <br /> 1 I �'' �o a�i� ��a9 <br /> Dr,scription ol Work to Be Done: �nI0.CP(y�e(LT �O1(��- ��}�Q 4) ; r�n .> <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 SHQW 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 TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATION5 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND COFRECT. ALL <br /> PROVIS/ONS OF U1WS AND ORDlNANCES GOVEANING rHIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, 7HE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTNER <br /> STAiE OF LOCAL LAW FEGUL47ING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � <br /> �� /i�� I��v� FEE <br /> Signa ure Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED [�- a{p2-p ,c`� <br />