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ELECT CAL PERMIT A� ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ___/I y/y is�s A�� 5-- � (o! - � <br /> PRO.IECT ADDRESS <br /> h�u�1.�.�� sG 'rlbZ3 -- 3 "L '"_D S-� s� �uc.�-� 4.E- �/7S= 33�f-so�� <br /> Owner Mail Address City Slate2ip Phone <br /> �,�4 q� ;ti., yn t.�,�s l�r� s Al��<,� //y�Y /54� A�. s� £v�•�F� a�4 <br /> Tenant Mail Address City State2ip Phone <br /> ��vr,. N«✓ �o �7Yoo f�Rr.��su.� !Cp �ucrvb{- �,,,� �/zs= 77E-�83s" <br /> EleclriCa Contractor Mail Address City State/Zip Phona <br /> /Rc_ri,i,v � � $SL 3 s LOv. °= <br /> State Licens umber Coniract Price of Work <br /> Sr�,ucL S-�-�v� (�L u.i.,l� <br /> Proposed Use o(8uilding Contact Person (Plan R ew) <br /> Description ot Work to Be Done: i,�3.�i,y[G (/ � cev i,� �4,i �La.�. ..[ Lo.��ev� G✓ <br /> G <br /> NOTC: PLANS FOR ELECTRICAL WORK AT EDUCATI()NAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASIiINGTON. 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 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 ABOVE 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-?0 SEC. 3106(b)4 E &F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND C017RECT. ALL <br /> PROV/SIONS OF LAWS AND ORO/NANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANT/NG OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTRUCT(ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> ON/NER OF TH/S PROPERTY TC PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 CO/APLY WITH THE STATE <br /> CON7RACTORS LAW 78.27 RCW AND 296.200 WAC. � <br /> -� , � <br /> FEE v�s .--. <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � � � <br /> �a �j�'�j � / <br />