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�. ELECTF�AL PERMlT APP�`� !CATI�N <br /> � CITY OF EV�RETT PERMIT ��RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX-:�5-257-8857 <br /> � I�� �/� i IC�C� � �2 I � lQ�"�'` �e S� <br /> P JECT ADDRE S 1 \ � • <br /> �Z � �i c l��i �! a�aq �c �� <br /> Uwner Mail Add ess City State2ip !'hono <br /> � J� � J `� (•( K� � V Ct�w cr GlC lw �i ` 'i <br /> Tenant Mail Address City ( Stete/Zip � P one <br /> / VD2�� �Un�P I�au v^� `Pt� ��� S4M0(5� �-1- �2 -I /vl�Y �---- <br /> Electrical Contractor Mail Address City � Stete/Zip Phone <br /> �a �-1,�� �t�l R � 9, Zoo _ <br /> State Licei.:;e Number Contracl Price of Wark <br /> ���� � ��� ( � f��� � �-o.�Z <br /> Proposed Use of Building Contact Person Plan Review) <br /> Description nf Work to Be Done: ��,�q � � y a,�,�l.-\ 7�-� � e_ '�-��� p �� <br /> �tIC C�(�� <br /> _r <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <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. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HtALTH CARE FACILITIFS PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WiRING IN NON-DWELLINGS IS REQUI!�ED TO BE IN RACEWAYS, MC OR AC CA9LE. <br /> HANDICAFPED ACCESS�BILITY: ELE�TRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG 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 S°ACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES CF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES AB�VE THE FLOOR. <br /> I HEAEBY CERTIfY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEfiEIN OF <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUM�TO GIVE AUTHORITY TU VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGllLATING CONSTRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH/S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.D ACW AND 2962U0 WAQ � , <br /> �7 %�/� �(��U / � FEE �� dr� <br /> (� �� <br /> na� Date <br /> DE61T&C IT CARDS ARE NOT ACCEPTED <br /> C4/�izo <br />