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� ELECTrtICAL PERMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ������ �(�' ���i, C� , �ve�"�� �a� ��� <br /> PROJECT ADDRESS <br /> _(,LLC�L �� ��,� I�`l9 �n-�-� C.�.� l�d-� jF�°I-I60� <br /> Owner Mail Address Ciry State�Zip Phone <br /> Tenan� Mail Address , Ciry State2ip Phone <br /> �2t-(,cW�.�' c'C i'�C. }:?��1� �L'��(Jv•�� e���`-� i�� <br /> t( � � 4 E• � �-�9C, ���-�OQ(o <br /> Electrical Coniraclor�7 Mail Address Ciry State2ip Phone <br /> -�� /�U��� <br /> State License Number Contract Price o(Work <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> Description ot Work to Be Done: �/C'-w � J • C�, r.Cv Y � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATION4L, 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 /> GDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL �E 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 RECcPTACLES ON WALLS <br /> WITHIN ACCESSIBLE �PACES 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 E�UIPMENT 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 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CERTIFY THAT I HAVE FEAD AND EXAMWED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECL ALL <br /> PFOVISIONS OF L1WS AND ORDINANCES GOVERNING THIS TYPE OF I�VOFK WILL 6E CO�vfPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, TNE vRANTING OF A PEFAIIT UOES NOT PRESUME TO GNE.4UTHORITY"TO VIOLATE OF CANCEL THE PROVISlONS OF ANY OTHER <br /> STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE PERFORMANCC- OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OLVNEA OF THIS PROPERTY TO PERFOFM THE WORK FOF WHICH APPUCATION IS MADE ANO I COMPLY WITH THE STATE '' <br /> CCNTRACTORS LAW 18.27 RCW A � 295.200 IYAC. � <br /> . /� � / <br /> ��� � -1 `� • Cj � FEE �� n>-�d� <br /> Signaturo Date � <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> ��y�� �7 � <br />