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ELEC� _ �ICAL PERMIT .AP. LICAT'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �I So 5 (c, �` �f . vJ.�.�-- ( o-� 2� <br /> PROJECT ADDRESS <br /> s�-Z.� �.��.� <br /> Owner Mail Address Gry State2ip Phona <br /> Tenant Mail�lddress City Sta�e2ip Phone <br /> ��9 �� �i/'L G <br /> Electrical C Nractor Mail Address City State2ip Phone <br /> ��Mr�rc. � o7ti it /P�oa � � <br /> Stale License Number Contract Price of Work <br /> ��� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: � a- VtfL� .� d 4�J�1 c1'�-GQ_ <br /> NOTE: PLANS FOR EL[CTRICAL WORK AT EDUCATIOPIAL, FACILITIES UTILIZIN(3 STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS Wll'H SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BE�ORE CITY OF EV[RE'�T PERMIT WILL BE ISSUED. WAI; 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIE:W ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC �:;ABLE. <br /> HANDICAPPED 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 /> ENVIFONMENTAL AND OTHER CONTROL FECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 57-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABO\'-TH� FLOUR. <br /> 1 HEFEBY CERTIFY THAT I HAYt READ AND EXAhiINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANG CORRECL ALL <br /> PROVISIONS OF L.7 WS AND OFDINANCcS GOVERNING THIS TYPE OF LVORK WILL BE COMPLETED WHETHEn' SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAMIT DOES�'OT PRESUhIE TO GIVE AUTHORIrY TO VIOLATE OR CANCEL THE PROVISIO.NS OFANY OTHER <br /> STATE OR LCCAL G1W REGUL7TING CONSTRUC710N OR THE PEFFORMANCE OF CONSTqUCTION. THAT 1 Ah1 AUTHORIZED BY THE <br /> OWNER OF THIS FROPERTY TO PERFORM 7HE V✓ORX FOR WHICH APPLICATlON IS hIADE AND / CCM1IPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 bYAC. <br /> �n�._nXA lA��-,-� Z- I��D� FEE <br /> SiynaWre Da�e <br /> DEBIT& C9EDIT CARDS ARE NOT ACCEPTED <br /> �o <�az.��3 <br />