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ELE� rRIICAL PERMIT ,�,,�PLIC1aTi�[V � <br /> CITY OF EVERETT PERMIT ;�ERVIGES � <br /> 3200 CEDAR STREET, EVERETT, WA 3820 i <br /> 4:?5-257-8810 - FAX 425-257-�85' <br /> 5 ��5� /� _/o-? l�t . 7�1P , /� <br /> PRO,:ECTADDRESS � J ] ��/Z <br /> ���� �/iS7p�j� � ,r��it-� e � c.�/�, <br /> Owner MailAddress Ciry Statefip Phvne <br /> ��Ds� !a-r� ��. r��Q:?� ���7r . <br /> Tenant Mail Address City State2ip � l Phone n��D� <br /> /� !/ <br /> ��?���` j �����.� /��� ��l/� y.�r� ,�a �,,���e��i'�'�' <br /> Eleclrical Conlraclor Mail Address City State2ip , P�'� ��— � � <br /> ������9��.��'�� -�"/���ov �'-s ��.y yv,G� <br /> State License Number —�T— Contract Price of Work <br /> /`�'iS.���2 �/,f�� — <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: � ` � ' �/� J <br /> � /`l/ ` 9 i / .� <br /> (/r/-,/" �J/" �n /�� /J C�/•1 T�i4 � �1Y����(' �✓/l/ C�/ �Q/�e�i v <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS 1h'ITH 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 �ND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR FlC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECE°TACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E 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 OPFRABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEG. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CERTIFY THAT 1 HAVE READ AND EXAM14INED THIS APPLICATION AND KNOW THE SAME TO 6[ TRUE AND CORRECT. ALL <br /> PROVISlONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WI fEl"HER SPECIFIEO HEREIN OR <br /> NOr, THE GRANTI��G OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOl.ATE OR CANCEL THE PFOVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATlON !S MADE AND 1 COMPLY WITH iHE STATE <br /> CONTRACTCRS LAW 18.27 RCW AND 296.200 6VAC. � <br /> �Gt� c�i / - - �/�1j�,D� FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �(�/S ! �- U 7 O <br />