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ELECT�. JCAL PERMIT AP6 �ICATION <br /> CITY OF EVERE�T PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��`'��p�fl 1���{�ce� �..,"� <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phone <br /> (���� ��� �(�� A �,Qr���� e-��--«:� f_v�'�- l,.�E4-,t�zo� 36� -�aY--�32� <br /> Tenanl Mail Address City State2ip Phone <br /> �I�e -z.r�5« �.� k.����s. �c���� s, i�lw�rflu���� �.-A 482�3 3G� Y2Y-�3zs— <br /> EleCtrical CorS actor M Address City State2ip Phone <br /> �/l�7-c�S C cU(zC�( � s�� <br /> State License Number Coniract Price of Work <br /> �v ��`� � ��� ��-�CL� <br /> Pro sed Use o(Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: I''� 5 t��� ` Gw"�`"t`� �"� � W w4� S< <� L� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVEC k3Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JODS MUST SHOW THE STATE <br /> APPROVEU PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 29G-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANJICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> V�i!i HIN 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. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGF_�UF WAC 51-20 SEC. 3106(b)4 E & F ANG NOT LESS THAN 36 INCHcS ABOVE THE FLOOR. <br /> 1 HEf7EBY CEATIFY THAT I HAVE READ AN� EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROL'ISIONS OF G1WS AND ORD/NANCES GOVERNING THfS TYPE OF WOF/C WILL BE L'OhIPLETED WHETHER SPECIFIc'D HERE/N OR <br /> NOT, ?'HE GRANTING OF A PERMIT DOES NO.T PRESUME TO G/VE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OFANY O7HER <br /> STATf' OR LOCAL Lr7 W FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORlZC-D BY THE <br /> OWNE�R OF THIS PFOPEATY TO PERFOAM THE WORK FOR tNHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONT.4ACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> EG�"�i^ � i� � ��S -C��� FEE <br /> Signature Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ���3_�j�7C� <br />