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ELECNRICAL PERMIT A�LICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �r�rr� <br /> .1�7 C—U[�!'�r�fw (.�/t� ' I A�r�/� <br /> PROJECT ADDRESS `' <br /> _�w ,-�� E=.s nArc e f I ZGo fti 99 F.�� Tl�' y2s'- y.2� oY7 <br /> Owner ' Mail Address City State2ip Phone <br /> Tenant � Mail Address Ciry StatefZip Phone <br /> �,�,�w,�,_ �.�,.��,� fozo3 17b"PcS� L�na�✓wona� 9So3� �Zs ��F3 57�I3 <br /> Efeclrical Contractar Mail Address City Stete/Zlp . Phone <br /> �2 o v�i��C 3�3 ( ��4 ��' <br /> State License Number Contract Price of Work <br /> ��¢s;�4u�✓'�vo� �� 12ob v'So� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �u�qk \Z5 el�,e l - `� �ce'� <br /> 1��17 y rvPW Ci ((�i��5 <br /> ��c✓��� ��Yf � L..,,rd ..� .Mv�� >ry C'w...�2 0� 1��.�.1�i 99 <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES U�i ILIZING 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 296-48-140. ALL OTHER <br /> EDUCATIONAL F,4CILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLF SPACES OA ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E 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 E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 9E 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 /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINAfICES GOVERNlNG THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPECIFIEO HEiiE1N OR <br /> NOT, THE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTqUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF WNICH APPLICATION IS MADE AND I COMPLY WlTH THE STATE <br /> CONTRACTORS 1�7W 1827 RCW AND 296.200 WAC. <br /> ��4�,� ���-� FEE �� �v <br /> Signature Date <br /> EcC}P!�_/f�:G 1� <br /> �-r�ZlJlo -O� <br />