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ELE ;TRICAL PERMIT "' PPLI�CATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I <br /> �i ����� DY- ��t L� l��"11 � � I-�� i�� <br /> PROJECT ADDRESS <br /> C'�(d � Q�� <br /> Owner Mail Address Ciry State2ip Phone <br /> Tenanl Mail Address City StatalZip Phone <br /> �Ld M l=tr��� �-f-I P�1JE��t- E.�-f- L�-`�� , Gl ezol Z SZ .<1��0 7 <br /> Elect ical Contractor Ma�l Address Ci�y State2p Phone <br /> ►�'�� F� 0�7�n-.1�- ��Di) � "'� <br /> State License Number Contract Price of Work <br /> �F1` <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Work to Be�one: 1 va�% {�p��<(.�i�-� -D U /T�� a�/���'« <br /> NOTE: 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 FACILITIES AND AL!HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC QR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMU�ICATIONS 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 /> ENVIRONMENTAL AtJD OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SECLONos�b)4CE & FI AND OTTEESS THAN 36LINCHES ABOV�E THE�F�OR�N THE REACH <br /> i i-IEFEBY CEPTIFY THAT 1 HAVE READ AND EXAhfINED THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PFiOVISIONS OF LA WS AND ORDINANCES GOVERNING THIS T`''PE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> N07, THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE CR LOCAL LAW REGULATING GONSTFUCTION OF THE PEFFORfv1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OVlNEA OF THIS PRUPERTY TO PERFOFM THE WOAK FOR WHICH APPLICATION IS MADE .4ND 1 COMPLY WITH THE SrATc <br /> CONTRACTOAS LAW 78.27 FCW AND 29G.200 WAC. <br /> `� ��— � .JC�� irr. �l - �� �Z ( .c,;j FEE <br /> Signawre Date <br /> DEBIT &CREDIT CARDS ARE NOT ACCEPTED E (y30S-(0/ <br />