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ELEC�� �RICAL pERMIT At�'�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERETT. WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �.��hs �, I b`�.h-, �r���z l�l e s�" <br /> PROJECT ADDRESS <br /> �� � lct Ci��� �-, y,��( F,�,� � <br /> Owner Mail Address City State2ip Pnone <br /> Tenant Mail Address City State/Zip Phone <br /> ��1 ►���t r�Eh� �C�� 24 (� k'«1r r d— v—�� �z, l zsz�r�`1 <br /> Eleclricai Contractor Mail Address City StatelZip Phone <br /> �t�1L LCG¢�' �'��n -� J lvc� � <br /> c.� <br /> State License Number CoNract Price of Work <br /> i <br /> �'( <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Workb Be Done: / vl"L �^� i�P S �����--� 7�2 2�-```� ���_ <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 /> EDUCATIOtJAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REGUIRED TO E3E IN RACE�VAYS, MC OR AC C.48LE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHl�J ACCtSSIBLE SPACES OR ALONG ACCESSIBLE ROUTFS 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 CJNTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> i ACCESSIBLE SPACES OR ALONG ACCESSBLE ROUTES OF TRAVEL SHALL BE MOUNTED VVITHIN THE REACH <br /> RANC�ES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. i <br />�I I HEFEBY CEf7TIFY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATIO.N AND KNOW ThIE SAME TO BE TRUE AND CORFECT. ALL � <br /> i PpOVISIONS OF �.4WS AND ORDIf�ANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIF!ED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTNOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORM1^ANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />� ObVNER OF THIS PROPERTY TO PERFOAM THE VNORK FOA WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �J�j�--G� W U�, FEE <br /> 1 <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �c3cy-o3�-I <br />