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ELE�.� fRICAL PERMIT ANPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �Z 16 CJc� i'vio�2C AuC <br /> PROJECT ADDRESS <br /> �'L�^�G�. � lw�.�15 �2d1 LI u,I.ILA� Au� GV62Ert" L� r7�'Zvl 4Z�=346-'3aS <br /> Owner Mail Address City State2lp Phone <br /> Tenani Mail Adtlress City State2ip Phone <br /> �)(.��JC�- Z2D1 l�11�IILA�.✓-� 4L'e:" Gv��,l'-T L✓'� �1�f'Zvl 4Li-3raf-�i01 <br /> Elecirical Contractor Mail Address City State2ip Phone <br /> State License Number Contract Price of Work <br /> 1'Yl i�C.e �r, I� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descript?onofWarktoBeDone: ��[ �,�-�,i.sq�� IL�-u�3 Av� ) ic-�i;G- 2EPc.�c. 2�mtx �1t� <br /> `Il-4-i1Ct?�. �'f G1..T FI/�C 1-�i:.J �c�fv�ct ia��� .l'ItTe�Z-� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY TH[ STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED 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 HEVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REpU�RED TO B� 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 t5 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTRGL 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 /> 1 HEREBY CEFTIFY THAT I HAVE AEAD AND fXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCE-5 GOVERNIIJG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIF/ED HEflE1N OR <br /> NOT, THE GRANTING OF A PEFMI7 00ES N07 PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT l AM AUTHORI2ED 9Y THE <br /> OWNEA OF THIS PROPERTY i0 PERFOAM THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L4W 78.27 RCW AND 296. WAC. <br /> �� �� v3-U3- �' FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �p,3c3 -0ory <br />