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ELECl RICAL PERMIT APr�LICATION <br /> CITY OF cVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ /i `//� �� Tf� �I�� s � /� - �ob' <br /> P�ynO�JECT ADDRESS <br /> LdCiJ2 < �/-:1�=� 1�1..'. �C L ��% ��,< ��'.}� .s�.�(c-�.�n:.�. L�/i� SJ1f/ �/1S 33Y- �Z7��' <br /> Owne—r� Mail Address City State2lp Phono <br /> Tenant Mail Address City State/Zip Phone <br /> /iSS���,,.{e�0�/�� FA;� /��>, ,."i:.4..L�'0 j.�4:�-�,.�,.�� C.�/;- r�d�,�Sl `/ls-3,1'Y-/SSs <br />. ElectriCal CoNfaCtor � Mail Address City State/Zip Phona <br /> �s5::c��css,�� 3 �U� �v <br /> State License Number Contract rice of Work <br /> ����.� �,�r-i <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of VJork to Be Done: � " l�,�j ,�{�yo /`�^9,Jc,� . �%y��i,� .SLa/•��,�, (����''� <br /> F�c�,� � ,E'�� � L.l,�; % �.1��� �� - �� � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STAl'E FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEAI_TH 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 TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOV�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 30" INCHES ABQVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED 7HI5 APPLICATION AND KNOW THE SAME TO BE TFUE AMD CORRECT. ALL <br /> PROVISlONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEC/FIED HEREIN OR <br /> NOT, THE GRANT/NG OF A PERM/T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL !AW REGUL4T/NG CONSTRUCTION OA THE PERFOfiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTFACTORS LAW 15.27 qCW AND 296.200 WAC - <br /> / � <br /> ���� t� 1; 1...�_ �l �Z �l FEE <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> �C`J (��a — (� �� <br />