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ELEC�ICAL PERMIT A �LICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88�0 - FAX 425-257-8857 <br /> L_-1� U.� 2,��1'Y�G C C Jti�'� W�t �U o�` <br /> PROJECT ADDRESS <br /> J�v...��-1 z..5��;,�.�,,� l�,ao l�.�e�v� ���rc�t+ � 4�Sdoi �yasl3�o�� <br /> Owner Mail Address Cit <br /> Y State/Zip Phone <br /> _ ti�d�l l�l ( <br /> Tenant Mail Addres �i� <br /> �` �� Y State2ip Phone <br /> �G��� % <br /> Eleclrical Contractor � �;'qddress Cit <br /> �,y�y, �� Y Slate/Zip Phone <br /> /iT'Y <br /> State License Number Conlract Price of Work <br /> ��L,C'' J 1 r�'e � � <br /> Proposed Use of Building � ������ <br /> Contact Person (Plan Review) <br /> Description of Work to Be Done: e���� ��`��.� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPFiOVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CI i Y 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 REQUIRED 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 E�UIPMENT 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 /> l HEREBY CER7IFV THA7 I HAVE READ AND EXAMINED THIS APPLICAT/ON ANO KNOW THE SAME TO 8E TRUE AND CORRE/:L ALL <br /> PROV/SIONS OF LqWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK IN/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMITpp ES N07 PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCfL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGUL7T NG CONSTRU(;710N OR 7HE PERFORMANCE OF CONSTRUCTION. THA7'I AM AUTHORIZED BY THE <br /> OWNER OF 'fNIS PROPERTY O PEFFORM 7HE WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br /> CONTRACTOAS LAW 7g27 RC �AND 296.200 WAC. <br /> C � '' -_ <br /> ' ��—_:�ZLcf � � FEE <br /> " Signature Dat <br /> "DEBIT&CREDIT CARDS AR'c NOT ACCEPTED ��� a���� ` �i r� 7 <br /> / <br />