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ELE�r�ICAL PERMIT AP. �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 7�a� T�.vr:r�� Sf ,v��e�` 9�sZ�1 <br /> PROJECT ADDRESS <br /> fd�xz��'.or��n. l�i,��i.� %000 �usc=,� �; �d�'�� Gt� 9��.0� �&�_9S/ti <br /> Qtvnef Mail Atltlress rty State2ip Phone <br /> Sc�i'h�lL � � �� <br /> � , <br /> Tenant Mai4Atldress City State2ip Pho� <br /> ��/U�r�l��G�/J'�Q/, G���.L��G)�s ( ��U lwLl �f�'lJ�z)�/rn�/'„Ol��!'� <br /> Elechical Contraclor Mail Atltlress Ciry State2ip T— Phone <br /> �iP �(�.O� <br /> State License Number Contract Price ol Work <br /> G1a�Ss �'oon;5, v�cr�� �i�>Tr�.Oam, �oh� lLbflso� <br /> Proposed Use of Building � Contact Person (Pian Review) <br /> Description of Wurk�o Be Done: � � ',-U�S q2,(j� � /����� �j� /j I � ' " <br /> 1�/� 1 1, �!� � <br /> /A� �C%-r;� ��(✓.�5 0)ra, $, �L{�o 0 75`i Gt`.'S i,��� /'�d�i�Od h1. i �'� <br /> / � T- <br /> ���,C� lLOI(SO ayl> /J�.4'�/'�O l�i'11L/�'� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 6Y 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 /> EDUCATIUNAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 EQUIPMEIdT VJITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 6�= MOUNTED WITHIN THE REACH <br /> RANGES CF WAC 51-20 SEC. 3106(b)4 E 3 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CE.RTIFY 7H4T I HAVE READ ANO EXAM!NEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF L7 WS AND ORDINANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLETED WNETHER SPEClFIED HEREIN OF <br /> N07, THE GRAN7ING OF.4 PERMIT DOES NOT PRESUM1�E TO GIVE RUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OFANYOTHER <br /> STATE OA LOCAL LAW REGULATING CONSTRUCTION DR THE PERFOFMAMCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OIVNER OF TH/S PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS A1ADE AND I COMPLY LNITH 7HE S7ATE <br /> CONTRAC70R5:AtN 78.27 RCW AND 296.200 WAC. <br /> �,7?�„ti / �� / -�c% -�O j FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ���.��,� ���, �J�� u ��� ,.� ��g_9��5/ <br /> ��307-0�11 � �� <br />