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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 />5'0 2..s �U���2 AV� <br />PROJECT ADDRESS <br />�wZ,���ri� w�g,er2 s� zs �euu�� fi-� y6' Zo3 Y.�S, 2sz-9�o <br />Owner <br />Tenant <br />Elecirical <br />Mail Address <br />Mail Atldress <br />�. �.C. � n-) `.. <br />Mail Address <br />M�(�11`iEL�03 fJ,T' <br />State License Number <br />Proposed Use of Building <br />City <br />Ciry <br />Ciry <br />State2ip <br />State2ip <br />Phone <br />Phone <br />StatelZip Phone <br />Conirect Price af Work <br />Contacl Person (Plan Review) <br />Description of Work to Be Done: R� 1�1J�� l� � XS�S ��� �J i � 4 nMP L Ql}(ji ��+�� <br />w �; i� �,cw �- k�� vr�wr <br />� - ,8giij oui�Li �i2�u, j <br />�- C/fhxlvr' oU i 13� 1}� <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 />APPRCVED PLANS BEFORE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHF..R <br />EDUCATIONAL FAC?LITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALOMG 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 tQUIPMENT 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 />1 MEREBY CERTIFY THAT I HAVE FEAD �iND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND COAAECT. ALL <br />PROVISIONS OF LAWS AND OFDIfJANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />N07, THE GRANTING OF A PERMIT DOES NOT pRESUME TO GIVE AUTHORI N TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LALV AEGULATIVG C.7NSTAUCTION OR THE PEFFOR4IANCE OF CONSTRUCTION. .THAT 1 AM AUTHOFI<'ED BY THE <br />OINNER GF THIS PFOPERTY 70 PERFORM THE WCFK FOR WHICH APPLICATiON IS MADE AND 1 COMPLY WITH THE STATE <br />CON7RACTOFS LAW 1827 RCIh' AlJD 29620U INAC. <br />3- 3/- o y FEE <br />Date <br />DEBIT & CREDIT CAHDS ARE NOT ACCEPTED �' O�{G3 -1S G <br />