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�— EL�CTr�ICAL PERMIT API-�ICATION <br /> CITY OF EVERETT PERMIT SERVICES a�_oc� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —0 ��7—�-3� <br /> �' 73� a7� � .��z � s .E . �vz,��- �6-� �`3 ����5 <br /> PROJECT ADDRESS <br /> � euA� �n•.�.�e�� I�I(o 5 l i�xs R� �Q �-�ws t,J4 �t$�5$ �3y-G573 <br /> Owne Mail Address City State2ip Phone <br /> `_ <br /> Tenant Mail Address Ci1y State2ip Phone <br /> `lawt���L� �Irc �*iC S�JI«Ca�O✓ �� � 1� 2 /b�Lia �j0 -9�`l� <br /> Elecirical Cont�aclor Mail Addrass City Stato2ip Phone <br /> �17��l7il <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��� /�-P.S . C�0 KS�. <br /> NOTE: PLANS FOR ELECTRICAL WORK .1T EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS h1UST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONA� 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 TRAVE� SHALL BE MOU�TED A MINIMUM <br /> OF' 15 INCHES ABOVE THE FLOOH. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHFR OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALOhC; ACCESSIBLE ROUTES OF TRAVEL �HALL 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 /> I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO HE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK bYfL� BE- COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO G!VE AJTHORITY TO VIOLATE OR CANCEL THE PFOVIS/ONS OFANY OTHER <br /> STATE OR LOCAL WW REGUL;ITING CONS7RUCTION OR THE PEFFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER UF THIS PROPER7�0 PEFFOFh1 7HE WORK FOF LVHICH APPLICATIOl� IS MADE AND 1 COfdPLY WIrH THE STATE <br /> CONTRACTORS LAW 1827 RC r1 ND 296.200 I�VAC. <br /> / <br /> Z 7 d FEE r� �� <br /> Yf�� <br /> Signature Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> � <br />� ,�a�_� � y <br />