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ELEC � �ICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �(()�l��(�/✓�� �(��l�J ( ��' �_ <br /> ���� ���� � ( � <br /> PROJECT ADDRESS �,;��'JQ C`r�I�/}GZ- ` / '�/r- �" ( <br /> C � i�( �J �- Ev�=,��� ��/d.e�T i CU�4 1 Aa� l <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address Cily State2ip Phone <br /> ya.s 3�+�7�� <br /> %��-� i�o,U << .��-;,��, � �•�. un��i� u,� � � ,-�� ,��6.���r�y,�.�u�,� <br /> Eleclrical Contractor Mail Address City State2�p (�� Phone <br /> � r, Trt �, ,�c_ �� �i'� �'o�v <br /> State License Number Contract Price of Work <br /> �O ll.> �=f�.k�b�LJC�' L% �'/U l�-� ��'LI l�C�l�i���.0 <br /> Proposed Use of Building Contact Person (Plan Rec�ew) <br /> Description of Work lo Be Done: ���)(.f�� }�' �/� � �Y`'�/ �� �� � � � �— <br /> ,7�-rv iJ ��->x r�= � ,�; �r�L-�- i ti i� !_[i��%-i_ �� i iiJ <br /> l <br /> � I ( C ' /-� . " /� �?�Jt' /-� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <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. 1NAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLAN�� WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWA(S, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIOIv� SYSTEM RECEF '1'.4CLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE P�IGUNTED 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 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 /> f HEREBY CERTIFY THAT 1 HAVE READ AND EXAAIINED THIS APPLICATfON AND KNOW THE SAME TO BE TRUE AND CORFECL ALL <br /> PROVISIONS OF LA WS AND OFDINANCES GOVEFNING THIS TYPE OF WOFH W/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRAN7ING OF A PERMIT DOES NOT PFESUA1E TO GIVE AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTNEF <br /> OLVNER OF�HAS PFOPECTYATO PERFOFM1A THE WORKT FOR WHI�CH APPLICAT ONN�SRMADE ANDH�COMPLYUWITH�THE STATE <br /> CONTRACTORS l.AW 18.27 RCW AND 296.200 IYAC. <br /> 7 j <br /> � ] '�, i _-� <br /> a��� ,j��1���� ;7CLLZ�.I�LN �--3 FEE ! �_, , <br /> � <br /> Siynawre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED =' ^-" � � �— <br />