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ELECT�ICAL PERMIT AP�LICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 � <br /> y� � <br /> � <br /> �y//i /.�� �-�.�`�� <br /> PROJECT ADDRES/S � �7 � / ��� <br /> �[/�'�='�-/ l�iY7/'/,'/i/'���./ �7/�� �� �/ /� G✓rUT/r,�'�`(� <br /> Ow gf hlail Addres ity StalelLip Phone <br /> /9� _ �'�`� <br /> '� �'�',���/'�%'/i �/.C�'/r��/_ ����/ ��+'X�`;'S/� <br /> Tena �-� Ma' Address Ciry State2ip Phone <br /> �if/ <br /> �;�,r�/�r�/iG ��r . %���fl /G/d --����/, � l J��,/,�;��,I� <br /> Elecl cif�l�Conlractor Mail Adtlress City _���te/Zip �/��,;• ��'J' ne <br /> /������1���/�i�� <br /> State License Number Contract Price ol Work <br /> Proposed Use oi Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /�� � r /��7`r-i�/�� ���r� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WP�yINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEF013E �;�'r OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCAT!ONAL FACILITIC�AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ,4LONG 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 E�UIPMENT 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 /> 1 HEFEHY CEFTIF}' THAT I HAVE FEAD AND EXAM1IINED THIS APPLlCATION AND KNOW TNE SAME 70 BE 'fFUE AND CORRECT. ALL <br /> PFOVISIONS OF LiWS AND OFDINANCES GOVERNING THIS TYPE OF WORK lN1LL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHOFITV TO VIOLATE OF L'ANCEL THE PROVISIOPlS OF ANY 07HER <br /> STATE OR LOCAL LAW FE6UL7TING CONSTFUCTION OR rHE PEFFORMANCE OF CONSTFUC710N. TNAT 1 AM AUTHORIZED BY THE <br /> OWNEF OF rHIS PFOPER7Y 70 PEFFCFh1 THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTFACTORS LAW 7927 RCW AND 296200 N�AC. <br /> � . <br /> � �_ <br /> / / _- ' — <br /> � ii�"�'���' � /`.r'�/�� FEE �J <br /> . � <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �t�n�- /�� <br />