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ELECT r�ICAL PERMIT API-LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �-5�-� �/✓P�'/4nV-P- <br /> PROJECT ADDRESS <br /> 'Y S`l� ��7`tic0(/1° T d�t'�E7f L�//� • �g"�tJ/ <br /> Owner Mail Address City State2ip Phone <br /> N•�. . <br /> Tenanl Idail Address City State2ip phone <br /> S��iurs7 F�(p c�fr�`� 9'r�o3 ��i.i`h f€-r�2 FuP���.77` (,vA . 5�'"7a r y9s�y�h�� <br /> Elecirical Contractor Mail Address City State2ip Phone <br /> S 6.q-i-/-�+r�0 99Q �v <br /> State License Number Contract Price of Work <br /> n�_s�o �,��e _ �x� t�-��.o <br /> Proposed Use ol Building �— Contact Person (Plan Review'� <br /> Description of Work to 5e Done: ���`t/G{� m�� O�q /`1—,S'Q , �QiVQ_ G Q�t. � �N S�?�� <br /> .� <br /> ��� ��e�'�a c Ce� ini Doa 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 /> 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 REVIEWED BY THIS OFFICE. <br /> NOTE: WIRINf IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: EL�CTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES 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 LQUIPMENT 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 /> I HEFEBY CER7IFY THAT I HAVE FEAD AND EXAh41NED THIS APPLICArION ANO KNOW THE SAME TO BE TRUE AND CORRECL AtL <br /> PADVISIOA'S OF LALVS AND OFDINANCfS GOVERNING THIS rYPE OF WOFK WILL BE COMPL.STED WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PEFMIT GOES NOT PFESUIdE 70 GIVE AUTHORITv TO VIOL;iTE OR GANCEL THE PROVISIONS OF ANY OTHER <br /> STA7E OR LOCAL 1�7W REGULATING CONS7FUCTION OF 7"HE PEFFOFMANCE O.<CONSTRUCTICN. THA7 1 AM AU7HOFI�ED BY THE <br /> OL'�'NEF OF THIS PROPER7Y TO rEFFOFfd THE IPOFK FOR WMCH APPLICA7lON 1S MADE AND I COMPLY WITH tHE STA7E <br /> CONTFACTOCS LAW 18.27 RCW AND�ati.."CO lM1'dC. <br /> i') <br /> i <br /> 1/��� i�� ���'�S FEE <br /> Signawre Date ��� <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED v�/ � ) <br /> / <br />