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; <br /> ELECTr�iCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 I <br /> �- n i /^ Y ��r'Vl S� <br /> PROJECT ADDRESS � <br /> ,�r� Q��.� � t .<Q� _ r�7 Y�S-387- �6�� <br /> Owner Mail Address City State2ip Phone <br /> N� /� � <br /> Tenanl Mail Address City State�Zip Phone <br /> �eekursr" yoo3 ��c��`/> ,4�e. �vti` • �Yoi yys7sY�6o�7 <br /> Eleclrical Conlractor Mail Address City State2ip Phone <br /> s6��UE.�o9q�?iv � y6�: o0 <br /> State License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of W ork to Be Done: C V� aCv�Q �/rt J.SLO �n G� . G O/(/Pi�l 7`?� it/$(�c� <br /> �o l� - �4n� e�l <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS VJITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFGRE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS VVILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TG BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL[S ON WALLS <br /> WITHIN ACC[SSIBLE SPACES OR ALOiJG ACCCSSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> UF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)�. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEI. 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 TtiE FLOOR. <br /> 1 HEREBY CERTlFV THAT I HAVE READ AND EXAMINED THIS APPLIr_pTiON AND KNOW THE SAME TO BE TRUE AND CORAECL ALL <br /> PROL'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS .T1'PE OF WORK WILL BE COMPLETED WHETHEA SPEC/F/EO HERE/A' OR <br /> NOT, THE GFANTING OF A PcrMIT 70ES NOT PFESUM��O GiVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE- OR LOCAL LAW AEGULATILG CONSTP.UG"�ION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOR/ZED BY THE <br /> OWNcR OF THIS PRO?ERTY TO PLFrORM THE WOFK FOR W'hICH APPLICATION IS MADE AND I COMPLY !NITH THE STATE <br /> CONTFACTORS LALN 782:RCW AND 296.200 WAC. <br /> o�-� 0�� 6 --�^ o,y FEE�ss. o0 <br /> Sgnature Dale <br /> DEBIT&CAEDIT CARDS ARE NOT ACCEPTED �p� G� _���5 <br />