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�' • <br /> ELECTkICAL PERMIT APi��ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8807 <br /> /��� /� � �%i�,�i�VC- To�c.' ��,'�Y <br /> PROJECT ADDRESS <br /> �l�)�/l-� L O rt/; �% V C �.'�. <br /> Owner h1ai1 Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> ��n/i j'1(�( )�/7� / LGC:/���� l �Z'/�i 5 /�(llJ�- l � /�`!1 !�f%ZiGCA�� G�'� li�`�7�/ �D ����`�7�� <br /> �Eledrical Coniraclor Mail Address Ciry State2ip Phone <br /> f� 'j < tC L. J YT'�/Z Z. _ <br /> Stale License Number Coniract Price of Work <br /> /V!- G, ' i/" /Z <br /> Proposed Use of Building Comact Person (Plan Review) <br /> Cescription ol Work to�e Done: _� ���J I-1 <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPI.ICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPFiOVED 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 BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO 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 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPIJItNT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RAIJGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CEHT/FY THAT 1 HAVE READ AND EXAMINED THIS APPLICATICN AND KNOW THE SAME TO 9E TRUE AND COFRECT. ALL <br /> PROVISIONS OF LriIYS AND OFDINANCES GOVERNING rHIS TY�E OF WORK WILL BE COMPLETED 'NHETHER SPECIFIE� HERE/N OF <br /> NOT. TNE GFANTING OF A PEFMIT DOES NOT PRESUAIE TO GNE'AUTHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTFL'CTION OR 7HE PERFOFMANCE OF CONSTFUC770N. THAT I AM AUTHORIZED BT' THE <br /> OWNER OF THIS PFOPEFTY r0 PERFOFM TNE WORK FOR {NHICH APPUCATION S hAADE AND I COMPLY WITH THE STA7E <br /> CONTFACTORS LAW 78.D RCW AND 296200 WAC. <br /> � <br /> /�� � / <br /> //, `��� �I C�� FEE <br /> ____:`:�— � <br /> Signature . � Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ����J(� - � I <br />