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ELE�TRICAL PERMIT r�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1 i /O �.✓�/�O/Zc /�l� <br /> PROJECT ADDRESS <br /> /�i�LS CO/J Sr�,i�� /l/n/� -/�9�`�"' 1V� 2� �05Z <br /> Owne� Mail Address City State2ip P ne <br /> 2oto -��G-�9� <br /> S�rr.�. <br /> Tenanl Mail Adtlress City State/Zip Phone c�s_ <br /> �,�n� �Le i2� � ���i /S'" .�L- c� s� e��e�i c%� `�'Lvy 3;�ifr <br /> Electrical Conlrector Mail AdCress Ciry State/Zip Phone <br /> /�P,.t77 �?Srz�i�iJF <br /> State License Number Contract Price of Work <br /> Proposed Use ol Building Contact Person (Plan Re��iew) <br /> Description of Work to Be Done: �r7�'sYP. �. ."�7) /�i�?/� �'.91./� �'7 u lv <br /> C�✓�/t,(�i �/' %/C�� 6/- /-�ixJs�' �.5� 6�' /�fY.iSt� . <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 /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILI. BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACII.ITIES AND AL�HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED 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 TRAVE� 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 OTHGR OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAI_L BE MOUNTED WITHIN THE REACFi <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHF=S ABOVE THE FLOOR. <br /> I HEREBY CEFTIFY THAT I HAVE READ AND EXAM191NE0 7HI5 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PAOVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMI i'DCES NOT PRESUME TO GIVE AUTHORI N TO VIOL7TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL L4W REGULATING CONSTflUCT10N OR THE PERFORMANCE OF CONSTflUCT10N. THAT I AM AUtHORIZED BY THE <br /> OlM1'NER OF THIS PROPERTY TO PEAFOFM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITN THE STATE <br /> CONTRACTORS LAW 18.2i RCW AND 296.200 WAC. � <br /> �- � FEE <br /> � 6-z -o� <br /> �"v' � l�i1L. -v <br /> �ignature U Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED E 03d �u-01 a-- <br />