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ELECT�tICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />7 � C' C" i . :%� <br />PROJECT ADDRESS <br />� Z c�,5 i r-��—%fJOti'� l�c�F <br />. <br />Owner Mail Address City State2ip Phone <br />�(�%�.�' J�/����/CIC%/c`-S <br />7 5 0/ CG�/��T/�G'C E/F�TT i✓/� I�S� 2D/ �jLS-2s�7-GG/G <br />Tenant <br />Mail Address <br />City <br />State2ip <br />Phone <br />I^. � S N�HT//uG� C ���iiiC ScJ�GJ9S�'/%�J1/v /`I G'�'✓,� G✓a- y�'�7) a25 _2�._�,G/6 <br />EleClriCal COntraClor M11ai1 Address City State2ip Phone <br />� �-sr,�,y,c � onsc.� �-> <br />Sta�e License Number <br />'� C NIFOr_�i�/l /��— <br />Proposed Use ol Building <br />S �•t � `" <br />Contract Price of Work <br />��_H�'i'.C�" <br />Contact Person (Plan Review) <br />r. <br />DescripllonolWork�oBeDone: ;jL�Si/7G� L �L � � 5l�-� S�/l.�l� LGGL' [,.�c:�G T <br />✓ / /2 / il, . �— <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: W IRING IN NON-DW ELLINGS IS REOUIfiED 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 TfiAVEL SHALL 8E 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 HEFE5Y CERTIFV THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE Ah'D COFRECL ALL <br />PFOVISIONS OF LAWS AND OFDINANCES GOVEFNING THIS TYPE OF 41'OAK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GFANTING OF A PEFM11IT DOES NOT PFESUM1fE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />SiATE OF LOCAL LAW REGULATING CONSTFUCTION OA THE PEFFORh1ANCE OF CONSTRUC710N. THAT 1 AM AUTHOflIZEO BY THE <br />OWNER OF THIS PFOPEFTY TO PEFFORh1 THE WORK FOR WHICH APPLICATlON IS MADE AND 1 COMPLY WI7N THE STATE <br />CONTFACTORS LAL'V 182i FCW Ah'D �9&200 LVAC. <br />� <br />Signature <br />/ <br />Date <br />� FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �O I�"' <br />