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ELEC�' riICAL PERMIT API-LIC�►TION <br /> CITY OF EVERETT PERMIT SLRVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � ��( �'�l l �� �� � •✓ , c._�, �..,�,,� �,o t�l� <br /> PROJECT ADDRESS <br /> �.1.t.1_.b-- �� f'�t� t� ly]'1`1 �`>u-c�,a,:�,..�� /��a �l�v-%� ���1-IOon <br /> Owner Mail Address City State2ip Phone <br /> _��'— <br /> Tenant Mail Address City Siate2ip Phone <br /> ��a�v.,.c,� �._IF��-ri 5�<< �Ca�"n✓, S ,F- , `.�.��I.�:..�,.s� L,Jz ����-%0 ��n - ��9� I <br /> ElecIlLrlcal Contractor Mail Address Ciry State2ip Phone �I <br /> # � 7� � G'� <br /> State License Number Contract Price of Work <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��� u7 . ��('`� .. �� ;,��'� , I <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STtiTE OF WASHINGTON. .4PPLICANTS 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 W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 3E 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 OPERAB:.E EQUIPMFNT WITHIN <br /> ACCESSIBLE SPACES OR ALONr, qCCESSIBLE ROUTES OF TRAVEL SHALL BE MOUfJ?ED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE T`�E FLOOR. <br /> 1 HEREBY CEATIFY THAT 1 HAVE READ AND EXAM11INED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE.4ND CORRECT. ALL <br /> PROVISlONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WO{7K WILL 6E COMPLETED WHETHER SPECIFIED HER�IN OR <br /> NOT, THE GRANTING OFA PEAMIT'DOES NOT PRESUNE TO GIVE AUTHORITY TO VIOLdTE OR CANCEL THE PROVISiONS OFANY OTHER <br /> S7ATE OR LOCAL LAW REGULATING CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOHIZED BY THE <br /> OWNEA CF THIS PROPER TO PERFORM THE WORK FOR WH/CH APPLICATION /S MAOE ANO I COMPLY W1TH THE STATE <br /> CONTRAC'fORS LAW 18.27 W AND 296200 WAC. <br /> � <br /> � L C! /� D FEE c9-Z� <br /> � Signature Date ��� <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �����" 009 <br />