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ELECT ICAL PERMIT AP�iICATION <br /> CI�'Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> // y/ 9 �ST`� /�a� Sr '� c; io ) <br /> PROJECT ADDRESS S�/B <br /> /y'4Rr,���e 5�.,,F.� �J,�'�k 2a'� ��l�R� c,.i.a s�as �/,�- 33y-/� <br /> Owner Mail Address Cily Stete2lp phone <br /> Tenant Mail Address City State/Zip Phone <br /> �S�CJ��E"1���� �.'().Q.'� 1�'v Sa�(hu.a�� c-vP- S?1y� f'�.s=31y!Fs s <br /> E�ect�ical Contractor Mail Address City Stale2ip Phone <br /> /r55 d�cCo �'swL _y� 3s � <br /> State License Number Contract rice of Work <br /> �V�Ol.i <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian of Work to Be Done: �}ev St,tv,�,� / ��� / Ul,� f��g <br /> C.7 <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 HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL flECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-2C SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF L4 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> ST.STE OR LOCAL LAW REGUL4T/NG CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OV:'NER OF THIS PROPERTY 70 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. � <br /> l��lf,�/C �/ C�Lt,�Mn� v���)�C� �/ FEE <br /> � Y <br /> lSignawre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �O'}O�'GT�/ <br />