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ELEC NICAL PERMIT API-LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />o3G �9%4 �T, .��/ <br />PROJECT AD RESS ►lc�s <br />►9gs � ��7�,� LL L <br />Owner <br />/V/ <br />�.0��33 <br />�q�/ ��� ,S7s, �/, <br />Address <br />Meil Addreae <br />1�o�-7i9-h t� ��a ; <br />Clty <br />���Y <br />.SaPe� �};II Q,c�. � <br />Ele trical Contractor Mefl AaCress Clry <br />_�m ✓b �-� oq4� � <br />Stete Licenae Number <br />S, n �� ��+�5rn i��t �• <br />Proposed se al Bu�ld� <br />Descrlption ot Work lo Be Done: �L �� <br />Slefe2lp <br />(IS `'lll�7 .tu=�ts-oa�a. <br />PhOne <br />S�ale/Zip Phane <br />��i 9�ia�5 �n�,3`19-795G <br />State/Zlp Phone <br />�39 a�� <br />Contract P ce ol Work <br />Conlect Peieon (Plan Review) <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 STAT� <br />APPROVED PLANS BEFORE CITY OF EVEfiETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWE� BY THIS OFFICE. <br />NOTE: W IRING IN NON•DW ELLINGS IS REOU�RED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDI�APPED 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106��)2. <br />ENVIRONMENTAL AND OTHER CONTRCL qECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE 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 />�. <br />I HEREBY CER7IFY THAT I HAVE HEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT ALL <br />PFOVISIONS OF LAWS AND OFDINANCES GOVEFNING rHIS 7YPE OF WORK WILL BE COMPLETED WHE7HER SPECIFIED HEFEIN OR <br />NOT, THE GRANT/NG OF A PERMIT DOES NOT PRESUME 70 GIVE AUTHOFI7Y TO VIOLATE OR CANCF_L THF. PROVISIrJNS OF ANY (7THEp <br />STATE OR LOCAL l�1W qEGULA7ING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. 7HAT 1 AM AUTHORIZED BY THE <br />OWNEF OF THIS PHOPERTY TO PERFORM iHE WORK FOR WHICH APPUCATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS ►14 4V 7B 27 RCW AND 296 2lXl WA6' <br />V � <br />siqneWre <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />� <br />Dete <br />� �%°� <br />FEE <br />r,� a <br />