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� <br /> � <br /> ELEI,TRICAL PERMI� Ar�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8010 - FAX 425-257-8857 <br /> _�f�c� � I�`�`� pr v.��s-1- L�•� i� <br /> PROJECT ADDRESS <br /> C���� C�-�E k <br /> Owner Mail Address City State2ip Phone <br /> TenaN Mail Address City State2ip Phone <br /> C�' C= Ec�u•lC Z�'��� �'1P1� C.�f' � WE1' ZS�Z- �l�1�7 <br /> Eleclrical Conlraclof Mail Address Ciry State/Zip Phone <br /> k��n�������� .� i r���.�.� <br /> State License Number Contract Price of Work <br /> ��� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: 'vQ��! YL51�u-�� z�' ���'^1P 3�V'�ll�' <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 ALL HEALTH CARE FACILITIES PLANS W ILL BE P,EVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELEC7RICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF l'RAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABCVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPFlCES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 F & F AND NOT LESS THAN 35 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF LAWS AND ORDINA�lCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HE,9EIN OR <br /> NOT, THE GAANTING O�A PERMIT DUES NOT PAESUME TO GIVE AUTHORITY TO VIOLr1 TE OR CANCEL THE PFOVIS/ONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGUL;ITING CONSTFUCTIOfJ OR THE PERFORMANCE OF CONSTAUCTION. THAT I AM AUTHOR/ZED BY THE <br /> OWNEA OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION /S M.4DE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> Y'l.(, � C��C�'�c�L l �� 5'�3 Fee <br /> Sic�nature Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ��3(/-D L� <br />