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E�ECTr�ICAI_ FE;3MIT �lP�LILATION <br /> CITY OF E�,'Ei�ETT PEF�MIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 9`Y o2� ( (v� � � , � , ��/e.�/'e,t� C��,"� l � <br /> PROJECT ADDRESS <br /> C I✓l�i �U � ' ���� '.1ks�ca,:�-�i� �.c�n % UCl�I�Q �5`r ^�OLL* <br /> Owne� Mail Address City State2ip Phone <br /> ��.—. <br /> Tenant Mail Atldress City State2ip Phone <br /> f�l[l WU'�t'A! �IPCtYIC �C.���. LIX��,v. J C , d'Lcn,�/ALu.c� (�/2 / A/�[Q 7j�C� <br /> Electricel Conlractor Mail Atldress City Sta'e/Zip Phone <br /> -��r 7�e�t <br /> State License Number Contract Price of W ork <br /> Froposed Use of Building Contact Person (Plan Review) <br /> Description ol Work lo Be Done: �p i,�} ���(�ua_'F� 'c.�� (��s',�/'uc'.t�O ✓� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL FACILITIES UTILIZING STATE FUhDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICAffiS WITH SUCH JOBS MUST SHOW 7HE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT lr��L BE ISSUEU. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILII�IES 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 /> HANDICAPP�D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN r,CCESSIBLE SPACFS OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINiMUM <br /> OF 75 IN�HES 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 /> HANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS TH,4N 36 INCHES A80VE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAM1fE TO BE TRUE AND COP.RECL ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GRAN77NG OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VI041 TE OA CANCEI THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR 1 HE PERFOFMANCE OF CONSTAUCTION. THAT I AM AUTHORIZED BY THE <br /> OVJNER OF THIS PROPEHTV TO PERFORh1 7HE �VOFH FOR L'✓H(CN APPLICATION IS MADE AND I COMPLY W1TH i HE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.�00 WAC. <br /> �/ ? /� FEE <br /> Signature Date <br /> DE81T &CREDIT CARDS ARE NOT ACCEPTED ' ��-C(- �'�,- �� <br />