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ELECTkICAL PERMIT APF _ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �av � �= tnk��a� �� �11� ��,s� <br /> PROJECT ADDRESS �z9 t' <br /> —Q�ZL1lhi �( �L.�'�1.� /?/r 1 G1lfLT!{ttf 11/`� I¢C� F2 ��l�C�����/ <br /> Owner Meil ACtlress City StatelZlp Phone <br /> t <br /> Tenant Mail Address Ciry State/Zip Z �P one <br /> �'�1�4tiv�:l2 S'�-S 3Go i EU,c`�1R'� � Fc IIEi��lj ��P�n� ��� ^��4/ <br /> Elecirical Contractor Mail Aadress Ciry StetelLip Phone <br /> F�t Y �/�N �S / Y2 �-l3 <br /> State License Numh� Contract Price of Work <br /> �S � DhlUc �- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Dascription ol Work to Be Done: I i�S�A-�,�, �[l(1 /'�9/D r��( � • <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 /> APPRQVED 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 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 MOURTED 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 F�EREBY CERTIFV THAT 1 HAVE REAC AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF L4WS AND ORDINAfJCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU7HORITY TO V101ATE OR CANCEL THE PROVISIONS OFAN�OTHER <br /> S' 4TE OR LOCAL L4W REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFII'cD E'Y THE <br /> OKi�'ER OF THIS PROPERTY TO PERFORM THE WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WITH INE STATE <br /> CONTRACTOFS U1 W 18.27 RCW AND 296.200 WAQ � , <br /> : �l!/ � 2� G U FEE �/� U e <br /> J � <br /> Signature Dete <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �O�{61-0Sy <br />