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ELECi . �ICAL PERMIT <br />AP. LICATION <br />CITY O'r EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E'JERETi, WA 98201 <br />425-257•8810 - FAX 425457-8857 <br />"'�i C� o-- .3 y 1���-� f- <br />PROJECT ADDRESS �`.` <br />� f � <br />�� l ��C �� i� 1;�,.1�-_1,.� ., <br />Owner Mail Address <br />2_ � <br />C:. L �«; � C` -., �,_�r,: <br />Tenant n7 �ii �adaress <br />SFL.S� ��C �J /l.'.._� <br />Eleclrical Contraclor Ftail Address <br />�l1 SC� J r.,�� � <br />Slate License Number <br />C_ � �1--� <br />14.•,, C�,,.sf ���f•�. S'r� <br />Propos�d Usr of Buildinc� <br />�- <br />n o ,�,a ,c �.... ��/1. ,L� i. <br />City <br />� � <br />Cliy <br />City <br />Description ol Work to Be Done: ��—�;� ��e �'.�i � c C <br />�Eu i�� C„'A j f;i c 2 <br />State/Z:p Phone <br />r� „ <br />Siate.�'lip Phone <br />Stale2ipf Phone <br />,sco <br />Contract Price ol Work <br />Contact Person (Plan Revie�v) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF N'ASHINGTON. APPLICANTS WITH SUGH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CIT`�' OF EVERETT PERMIT WILL BE ISSUED. WAC 296•4S-i40. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEP.LTH CARE FACIIITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLI�GS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPFE� ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN P.CC:ESSIBLE SPNCES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHE ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br />ENVIRONA4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPEP4BLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MC�NTED 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 />� NEFEBY' CERTIFY THA7 I HAVE FEAD AND EXAM1IINED THIS APPLICATION ANO KNOW THE SAM1fE TO BE TRUE AND COFFECL ALL <br />PFOVISIONS OF L4WS AND OFDINANCES GOVERNIMG THIS iYPE OF WORK WICL 6E COh1PLETfD WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEr7M111T DOES NOT PFESUh1E TO GIVE AUTHOFI7Y TO VIOL7 i E OR CANCEL TNE PFOVI SIONS OF ANY OTHER <br />STA7E OR LOCAI 41W REGUL7tING CONSiFUCiION OR THE PEFFOFM11ANCE OF CONSTflUCTIOfJ. THAT 1 AM AUTHCFIZED BY THE <br />OWNER OF THIS PFOPER7Y TP PEFFOFM14 THE WOFK FOfi 6l�HICH AFFLICATION IS MAOE AND I COMPLY WI7H THE STA7E <br />CONTfiACTORS LA�N 18.27 FCW AND 296.200 WAC. <br />�I � /1 1 � <br />l /( _ �^t'L� �Z/Z��,j FEE <br />—.�� <br />Signature � Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />