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ELE�; rRICAL PERMIT ��, �PLICATIO�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT, WA 98201 <br /> 425-257-881C - FAX 42�-257-8857 <br /> �l� � �� �� i6 * D�. w�� <br /> PROJECT ADDRESS <br /> �(�� �v�e(L <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> (�� ly� ��(t c�v� c _ <br /> Eleclrical Contractor A1ail Address Ciry State2ip Phone <br /> 1<�t��_��-��`16.) L /p�2� , o0 <br /> State License Number Contract Price o(Work <br /> �� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: RJPiS ((��.lC�wcF_ 2�`�C� t� �E+lR�°- <br /> —` <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUGATIONAL, 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 O� EV[rIETT PERMIT WILL BE ISSUED. N�4C 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH C4RE FACILITIES PLANS WILL BE REG;EWED BY THIS OFFICE. <br /> NOTE: bVIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECFPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNI'ED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 5140 SEC. 310E(c)2. <br /> ENVIRONMENTAL AND OTHER CONTRO� RECEPTACLES AND OTHER OPERABLE EUUIPMENT WITHIN <br /> ACCESSIBLE SPACtS OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC �1-20 SEC. 310o(b)4 E 8 F AND NOT LESS 7i'AN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY 7HAT; HAVE READ AND EXAMINED THIS APPLICATfON ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA'NS ANO ORDiNANCES GOVERNING T'r115 TYPE OF WORK INILL BE COMPLETED WHErHcF SPECIFIED HEREIN OR <br /> NOT, THc GRANTING OF A PE.FMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V!OLATE OR CANCEL THE P.40VISIONS OFANY OTHER <br /> STATE OR LOCAL L.iW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT/AM AUTHORI2ED BY THE <br /> OW�VEF OF THIS PROPERT/ TO PERFORM THE WORK FOR WHICH APPLICATIGN IS MADE AND / COMPLY WITH THE STATE <br /> CONTRAC70RS LAVV 7H27 RCVJ AND 296200 WA.r.. <br /> �— I <br /> ' 2�..._L ..f U,��ZI� < <- s-�-3 FEE <br /> Signature Date �'�. <br /> DEBIT 2 CREDIT CARDS AfaE N07 ACCEPTED F�p'3/l'p�l <br />