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ELEC f�ICAL PERMIT AF �LIC�:TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 Q `��—D <br /> � <br /> ��I�c7 S`f/a ��A�2St IfIU� (=Un.V�� <br /> PROJECT ADDRESS <br /> Go��o L� 1 �.�� �i�c� �����c ���t c��t��' �Zl�✓�� wv� C7 ��� _ <br /> Owner h7ail Adoress Qty State2in Phone <br /> Tenant Mail Address City Statei7.ip Phone <br /> g;1� t�l rr ���C, tS��l�►- `1�dN��� W C�w�.�nu� , w�t- ��t�.2�� 4-Z�7���1 <br /> EleClrical ConiraCtor tdail Addrnss City St�2i� = Phone <br /> ��GI�LLI 1,��`nl(;41�/A � <br /> State License Number�� Contract Pri e ot Work <br /> ,�f�� <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ������.,2CK� G'"l � �W I Y1� �L� �.t��CJ�� _ <br /> �, ,����1� �nn �d r Q�17��✓ 'iz� ��C��E l�',1 vte� Vvo� t�7 ul l�� �Q'�11,t.0�� �� <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 A1UST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 29u-46-140. ALL OTHE`-i <br /> EDUCATIONAL FACILITICS AND ALL NEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOT[: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMI�NICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACGESSIBLE SPACES OR ALONG ACGESSIBLE ROU�ES UF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57•20 SEC. 3106(c)2. <br /> ENVIRONA4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER GPERABLE 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 A80VE THE FLOOR. <br /> I HEREBY CEFTIFY THAT I HAVE FEAD AND EYAAf1NED THIS APPLICAiION AND h"NOW THE SAME TO BE TFUE AND COFFECT. ALL <br /> FFOVISIONS OF LAlVS AND OFDINANCES GOVEFNbV�THIS TYPE OF WOFK LVILL BE COAQPLETEO WHETHER SPEGFIED HEf7EIN OF <br /> IJOT, 7HE GRANTMG OF A PEFMIT DDES NOT A�SUA1E TO GNE AUTHOFITY TO VIDCArE OR CANCEL THE PFOVISIONS OF ANY O7HEA <br /> S7A7E C'R LOCAL N FEGULATING CO UCTION OR THE PEAFORMANCE OF CCNS7FUC710N. 7HAT I AM AUTHCFIZED BY THE <br /> OVYNER �F THISA'F PEFTY TO FORId TNE WOFK FOR iYHICH AFPLICATIO.'J IS h1ADE AND I COMPLY IVITH iHE 57ATE <br /> CCh7R.7c."C9S Ld�V 7 27 RC O 296200 WAC. <br /> L% � <br /> i, �` �� FEE <br /> / <br /> Signa W re Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �L���_. � � <br />