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ELECI`riICAL PERMIT APH LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE'i , EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 <br />/0/6 �� �� �T s. �,✓� �oT�' <br />PROJECT ADDRESS <br />�-�z��.� �.�.��� �� � aqos/; <br />Owner <br />Tenent <br />�rn �oL7i9��� <br />Mall Addieea / City <br />N � <br />Meil Address City <br />a��� sa��a� ,�� �, a <br />Elect�ical ConUector Mall Address <br />P�o Jo �� oa 4� � <br />Slate Ucanse Number <br />City <br />R�� . ,��� � „�fi, s�„� ��� <br />Proposed Use ol Building <br />, �14 9Bo37 , <br />State/Zlp <br />StatelZip <br />gve�Gc77 � <br />Stete2lp <br />Phorro <br />Phone <br />2 � aa <br />Phon3 <br />3 3� � <br />Conlract Price ol Work <br />Cantecl Person (?len Revlew) <br />Descriplion ol Work to Be Done: __ � OC� �� , I✓t MI Lt� �1 S� L�Sd <br />NOTE: PLANS FOR ELEC7RICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPFOVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFOFE 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: W IRING IN NON•DW ELLINGS IS RFOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SVSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE 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. l <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG �CCESSIBLE FOUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b�4 E 8 F AND NOT LESS THAN 36 INCHES ABCVE THE FLOOR. <br />I HERE9Y CERTIFV TH4T I HAVE READ AND E.YAh11NE0 TH/S APPLICATION AND KNOW 7HE SAME TO 6E TRUE 4N0 CORRECT. ALL <br />PFOVISIONS OF LAWS 4ND O'7DGJANCES GCVERNING 7HI5 rYPE OF WOFK WILL BE COMPLETED WHETHEF SPECIF/ED HEFEIN OF <br />NOT. Th�E GRANTING OF A PERMIT DOES NOT PRESUME TO QIVE AUTHOFITY TO VIOLATE OF CANCEL THE PROVISIO�IS OF ANY OTHER <br />STATE �R LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWPlEF OF THIS FOPERTV TO PEHFpRM�E WORK FOF WHICH APPLICATION /S MAOE AND 1 COMPLY WITH 7HE STATE <br />CONTRACTORS ig 2,' RCW AND 96 200 yY <br />�� � � o������. <br />� . l � a-s-��} FEE <br />�� Slgneture Dete <br />DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />Ed4 C�-(�.� <br />