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ELEC'r r�ICAL PERM;T AF�rLICATION <br />CITY OF EVERETT PERMI'i SFRVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257•8857 <br />(OC`J \\ �}., �� �F , �_v.�,�>1 �\>� . <<4.�c •; <br />PROJECT ADDRESS <br />�j'r�:�<��A�����•�c�C� �����C•k1�Lr �_U�i: <br />, <br />Owner Moil Atld�os, City <br />Tenanl <br />Mail Atltlress <br />Clty <br />, J��,i „��J,,.f.,,��.��c , L1� <br />tdail Addwss Ciry <br />Slete2ip <br />Stale2lp <br />,`1��,� �h� , � <br />SleteQip <br />��,o. ` ` <br />\In R_��r (- �.��-�-, n����, ; � , ��� <br />Stato Licensa Numbor �� ,, �� Contract Price of Work <br />I <br />� �.����' Lr�..�� <br />Pioposed Uso ol �wldiny Contacl Person (Plan eview) <br />Description ol W ork lo Be Done: � � • � ���� r , .� ��v �w�. �i ' - � ._ . � L. <br />�� '��-`l`l <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTfiICAL WORK AT EDUCATIONAI, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVF.D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br />EDUCATIONAL FACILITI[S AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE. W IRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABL E. <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 151NCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTIIER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACFS OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED'NITHIN THE REACH <br />RANGES OF WAC 51 •20 SEC. 3106(b�4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBI' CEFTiFy THAT 1 HAVE READ AND EXAAfINED 7HIS APPLICATION AND HNOW TNE SAM1fE TO BB TF'JE AND CORFECT ALL <br />PFOVISIONS OF LAWS AND OI701NANCES GOVERPIING THIS iYPE OF WORK LVILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br />NOT, THL GFANT/NG OF A PERM�T DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OF CANCEL 7HE PROVISIONS OF ANY GTHER <br />S7ATc' OR LOCAI UiW F7EGULAi1NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I FM AUTHORIZED BV THE <br />JIVNEfi nF THIS PROPEFTY TO PEAFORM THE WORK FOF WHICH APPLICATION IS MAOE AND 1 COMPLY LYITH iHE STATE <br />CONTRALTORS L4W 1827 fiCW AND 296.200 WAC. <br />. �.-��.�_�l , .. Li. ��.__-_ _ `�_'. <br />Signalure <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />Dele <br />FEE ' , ��- - <br />� -_ <br />� �, ,t. � c <br />