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■ <br /> ELECT� .ICAL PERMIT AP� �lCATION <br /> � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 30�9 a Y t" si <br /> PROJECT ADORESS <br /> �T7•v� s��rlt 3oi� � `� �1T FVi�ukTi w�4 �'�'acl `I,ts-3Y3 -��a�, <br /> Owner Mail Address City Slate2ip Phone <br /> Tenant Mail Address City StetelLip Phone <br /> �e�-hNUEI� 5'xS 3l00� �tVE�QF�T ,4V CVFae�� W� 9B,2�1 yZ.S-�S9-�l�l <br /> Electrical CoNrector Mt�l nddr855 Ciry State2ip ahone <br /> E✓c.�aNss >�z�!' <br /> State License Number Contract Price c!Work <br /> SF� _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian of Work to Be Done: C/�/¢/U�� .S�a-V��� — �G� M/� — <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI.ZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JUBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED 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 MININiUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPh1ENT 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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAM�NED THIS APPLICATION AND KNOIh� THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF L4 WS AND ORDINANCES GOVERN�NG .Tii1S TYPE OF WOflK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL7TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH APPLICAT/ON IS MA�E ANO 1 COMPLY WITH TNE STATE <br /> CONTFACTORS LAW 18.27 RCW AND 296.200 WAC. " <br /> � L.6 � `/!r—� S��y/ O � FEE s'r OO <br /> �7 <br /> / Si9natura . Date <br /> / <br /> D BIT&CREDIT CARDS ARE NOT ACCEPTED �o�lGS-D5G <br />