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/ <br /> ELE �'RI�AL PERMIT ANPLIC�►TI4N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657 <br /> �--- - <br /> �( � i�1 �(��p ►- w��'- �� � �� <br /> PROJECT ADDRESS <br /> ��(C(�e,�e/� <br /> O�vner Mail Address City State2ip Phone <br /> ��_ <br /> Tenanl Mail Address City Statel.:ip Phone <br /> 1�n�1 rr P�. � Z��� �w� ���-- w� ��70� 2�z— ��o7 <br /> Eleclrical Contractor Mail Address Ciry State2p Phone <br /> ��E'I'1�,.,_( iFr d�f,l � 'Z�>,"o <br /> State License Num6er ^ �� �� Contract Price of Work <br /> �'�. �1'� L\c C '� � <br /> Proposed Use cf Building Coniact Person (Plan Raviewj <br /> � <br /> Description of Work to Be Done: ��' � �Q,1/'�(� �,y <br /> U <br /> f:0?E: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, 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 /> EDUCATIONAL FACIi_ITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIFING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUN!CATIONS SYSTEM RECEPTACLES ON �NALLS <br /> WITHIN ACCESSIBLE SP.4CES 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 OPERABL.E EQUIPMENT 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 /> I1 HEFE9Y CERTIFY THAT 1 H1VE READ AND EXAMINED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> r^AOVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br /> ND`, THE GRANTING OF A PERMIT OOES NU7 PRESUME TO GIVE AUTHOAITY 70 VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> SiATE OR LOCAL LAW FEGULATING CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCT/ON. THAT I AM AUTHORI2ED BY THE <br /> OWNER UF THIS PROPERTY 7'O PERFORM THE' WORK FOR WHICH APPLICAT/ON IS MADE AND � COMPLY W7TH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> iI 1 ]JC,� <br /> �✓��1.__4' W4v-.1n � -�(� J FEE 'Z L� <br /> Signature Date <br /> DE81T b CREDIT CARDS ARE NOT ACCEPTED � �; � (; 3 -(�.,� � <br />