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ELEC�RICAL P�RMIT AP�LICATION <br /> CITY �F EVER�TT NERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��a�/ /� � t�, �,J � �a— <br /> PROJECT ADDRESS <br /> Cc�p c2�'r� ka.1c . <br /> Owner Mail Address , City State2ip phone <br /> Cc: 1.-D C2r-_r � ��� <br /> Tenant � Mail Address Ciry State2ip Phone <br /> k� d�1 rc���-v7 � ZN I tn P i n)r�t- E-e�{- �c., �i E z�I �S�I- ��ia2 <br /> ElectriCal Contractor Mail Address City StatelLip Phone <br /> kM��c��-b-r�s i <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> r— <br /> Description of Work to Be Done: t .rc�y- C �� <br /> NOTE: PLANS FOR ELECTRICAL WOHK 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 PEAMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PIANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABO�'c THE FLOOR, WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTFOL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 5E 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 /> I HEAEBY CERTIFY rHAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME 7'O BE TRUE AND CORRECT. ALL <br /> PFOVISlONS OF LAWS AND ORD/NANCES GOVEFNING 7HIS TYPE CF WORK WILL BE COMPLcTED WHETHER SPEClFIED HEREIN OR <br /> NOT. THE GRANrING OF A PEn�dIT OOES NCT PFESUME i 0 GIVE AUTHORITY TO VIOLATc OF CANCEi TNE PAOVISIONS OF ANY OTHER <br /> STA,TE CF LCCAL L.1W FEGUL4TING CONS7FUC;ION OR rHE PEFFOFMANCE OF CUNSTRUCTION. THAT 1 AM AUTHORIZED HY THE <br /> OWNEA OF 7HIS PFOPEFTY TO PEAFORM THE WOFK FCF WNICH :7PPL/CATION IS MAOE AND 1 COMPLY W1TH THE STATc <br /> CONTRACTOFS LAW 7B.27 FCW AND 296200 WAC. <br /> ` FEE <br /> ,1.w.C-.�% 1.�-�U�r�i�_ Z- 7�-o3 <br /> Signature Date <br /> ELEC�P�FEV9�G011 .-� � 302.fl�� <br /> 7 <br />