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ELE�RICAL PERMIT Af�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-5810 - FAX 425-257-8857 <br /> lI Y� 5 l �' 7`� �1� � S t - �'��S /-►- �iz�- 33 s-.s�,,� <br /> PF]OJECT ADDRESS <br /> ''�I [2id¢c S4.ut�. T .r.i�,(' L�C_ �J:/��x;/o�9 Sno�o»v.l r✓� S82i'( <br /> i � <br /> Owner Mail Address City State2ip Phono <br /> s� i��y- <br /> Tenant Mail Address City Stete2ip Phone <br /> ASso�;�r�<.OE�F.�� j°J �3�x -� �� S��-�.�,r��. C,.l./a- f6'.zfJ Yzs-33y iS�s <br /> Eleclrical Contraclor Mail Address Ciry State/Lip Phone <br /> �{SSo�cc.�48N� � <br /> � � <br /> State License Number Con racl Price of Worl: <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: <br /> - a oo �y � �°�,�.�Q d- /- h(�� � -M <br /> ��9-� �t��- _,�(�l/�� C.(►� �t <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAt_, 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. ALi OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH C.1RE FACILITIES PLANS W1LL BE REVIEWED BY THIS OFi=iCE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIFiED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HP.NDICAPPED 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 /> RANGES OF WAC 5E 20 EC.SN 6(b)4CE & FI ANDRfvOTTLES�S THAN 36 INCHES ABOV�EUTHE�LOOR.IN THE REACH <br /> I HEAEBY CERTIFY THAT! HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT. A!L <br /> PqOVIS10NS OF LA WS FND ORDINANCES GOVERNIN6 THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN C�R <br /> NOT, THE GRANTING OF A PEFMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> SiATE OR LOCAL LA W AEGULATING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT I Ah1 AUTHORIZED BY T.1E <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 19.27 RCW AfJD 296.200 WAC. � <br /> / ���J� ^ l "Y�... /[�� � o�JJ FEE �� �O <br /> Signature Date — <br /> DEBIT&CREDIT CARDS ARE NOT ACCEFTED <br /> "� � o - i �� <br />