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ELECTRICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �I(�c� S ilo � � �,c� [�� i s <br /> PROJECT ADDFlcSS <br /> Ce�o cR,=r-_�c Lesc <br /> Owner Mail Address <br /> � ��ty State2ip Phon4 <br /> C� t-.D C2r_� IL rtJ(_ <br /> Tenani � Mail Address City State2ip Phone <br /> K� wl rc��� c. Zti�c� PiNr= �- C��+- ��` ���z�� ��� i�ro2 <br /> Electrical Contractor Mail Atldress City State2ip Phone <br /> k���.�-�-�7 s �. <br /> State License Number Conhact Pnce ot V✓ork <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � � <br /> Description of Work to Be Done: � vn V' C �[� <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 /> AFPROVEU PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RArEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI. BE MCUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 6E MUUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CEAT/FY THAT 1 HAVE AEAO ANO EXAMWED iH15 APPLICATION AND KNOW THE SAME r0 AE TRUE AND COAAECT. ALL <br /> PFOVIS10N5 OF LAWS AND OROINANCES GOVERNING THIS Tl'PE OF WORK WILL Bc COMPLcTED WHE'HE,9 SP�C/FIED HEAElN OR <br /> NOT, THE GAAN7ING OF A PERMIT OOES NOT PqESUME i O GIVE AUTHOAITY TO VIOLrI Tc OR CANCEL THE F,40VISlONS OF ANY OTHER <br /> SiAi E OR LGCAL L7�Y FEGULATING CONSTFUCTION OR THE PEFFOqMANCE OF GONS7'FUCTICN. THAr I AM AUTHOR/ZED BY THE <br /> OWNE,4 OF i HIS PFCPE,47Y 70 PEAFORM 7HE WORK FCR WHICH APPLlCATION IS �YIADE AND / COMPLY WITH THS STATE <br /> CONrAAC70R5 L;1 W 78.27 FCW AND 29G.200 WAC. <br /> _/iLc,,,.G-�7� I.A..��L Z" �'-O FEE <br /> Signature Data <br /> ELECnP�REV 3/2001� E�r�O,L—� �� <br /> 7 <br />