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ELE�, fRICAL PERMIT ArPLICATION <br />CIT�' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />s� � � r�/�-��-� �-vE ��E ysw3 <br />PROJECT ADDRESS <br />/�-1 � Su.v�(� .s'7 i 7 k/-�F,Mc✓� ,4�.� � v� <br />Owner <br />�� <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />i/ � i <br />City <br />State/Zip <br />/� <br />State(Lip <br />Phone <br />// <br />Phone <br />E� �l�fm« 2522 �2u�k.�•-Av� �..302 �vE GvA 9Xzu //Yzs) zsa zrY z <br />Electrical Contractor Mail Address Ciry Sfate2ip Phone <br />E���L i�' y� `6 C�G <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: .�'�,t�-f � CJ'1C,W1G1 P <br />ConUact Price of Wark <br />Contact Person (Plan Review) <br />NOTE: PLANS FUR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS P,AUST 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 W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REGIUIRED 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 FIOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMEIJT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED VJITHIN THE REACH <br />RANGES OF WAC 51 •20 SEC. 3106(b)4 E& F AND NOT LESS Tf1AN 36 INCHES ABOVE THE FLOOR. <br />I r:EREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND COFRE( <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEF <br />NOT, THE GRANTING OF 4 PFRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OFANY <br />STATE OR LOCAL LAW REGULAT7NG CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUCT/ON. THAT I AM AUTHGRIZED <br />OWNER OF THIS PROPERTY TO PERFORM THE INORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY LN17'H THE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br />Signature <br />%(o — Q3 FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � �3l I'D3 7 <br />