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ELEC TRICAL PERMIT A �`PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �l� ZS t ��" �r�ve G-��.$' <br /> PROJECTtADDRESS <br /> � n��i �UP��L:��tC� <br /> Owner Mail Address Ciry State2ip Phone <br /> Tenant Maii Address City State2ip Phone <br /> K� bb1 �rL..c-fnc, 7lll(� �M1�51 t�,th- t,-�a��Bz�.l ZS z-�l`!o] <br /> Electrical�Contraclor Mailaddress City State2ip Phone <br /> �bti1 _r—�EG�'�l�"t�-.) t (��'" <br /> State License Number Contract Price of Work <br /> — ?��`�. <br /> Propnsed Use of Building Contact Person (Plan Review) <br /> Description o(Work lo Be Done: N`e-..� ���G>>c�r+�-� Zu D/��v, 5r��u� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, f=ACILITIES UTILIZING STATF 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 WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLF_ 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 AND OTHER CONTROL RECEPTACLES AND OTHER OPERA9LE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG AI;CESSIBLE ROUTES OF TRAVEL SHALL BE 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 HEREBY CERT/FY THAT I HAVE READ AND EXAMINED THIS APPL/CATIDN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF LAWS ANO ORDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PE.9MIT DOES NOT PRF.SUME TO GIVE AUTHOFITY TO V/DLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRJCTION. THAT 1 AM AUrHOFIZED BY THE <br /> OWNER OF 7HlS PROPERTY TO PEFFORM THE WORK FOR WHICH APPLICATION /S MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 76.27 RCW AND 296.200 WAC. <br /> �/t"-�-C� Wuh'I.-L_ �-I. Z�'�.3 FEE <br /> Signature Date � <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E�.j 3p�_�� � <br />