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ELEC�fICAL PERMIT APi �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />'"� �fv � /�c oo� yacL ,c�-t,� (�oyo�-o a7 <br />PROJECT ADDRESS <br />� <br />Owner <br />�D.Sevl <br />Tenant <br />Meil Address <br />.29z� -s <br />Ciry <br />State2lp <br />Phone <br />7C <br />Mail A dress City Stete2ip Phone <br />� �MM �i�r36x �/S� yK���(f� W� q�z�}� �'�3y�a� <br />Electrical Contractor Meil Address Ciry <br />1� e�-�z I s� J� <br />S ate License Number <br />Q���,b �'p �s <br />Proposed Use o Buildiny <br />State2ip <br />� l lSo. o� <br />Conlract Price of Work <br />�(�v, �AR/7S <br />Contact Person (Plan Heview) <br />Description of Work to Be Done: //V �"IrJ L� Vd �C� �`"(i Y/�, 'J ��"� �i <br />� <br />� <br />Phane <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZINC; 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 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTF_: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 310&(c)2. <br />E�VVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIP'AENT WITHIN <br />A�CESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF THAVEL SHALL BE MOUNTED WI hilN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOJR. <br />1 HEAEBY CERTIFY THAT I H,4VE FEAD AND EXAM1IINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISICNS OF LAWS AND CRDINANCES GOVERNING THIS rYPE OF WOFK WILL HE COMPLETED WHETHEA SPECIFIED HEREIN OR <br />NOT, THE GFANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL7TE OR GANCEL rHE PAOVISIONS OF AfJY OTHER <br />STATE OR LOCAL LAW REGUL7T/NG CONSTRUCTION OR 7HE PERFOFfdANCE OF CONSTRUCTION. 1'HAT 1 AM AUTHORIZED BY THE <br />OWNER OF 7}HIS PROPERTY TO PERFORM THE 4L'ORK FOR INHICH APPL/CATION IS MADE AND ' COMPLY WITH THE STATE <br />CONTRACTOFS LiW 18.27 RCW AND 296200 INAC. <br />Signature <br />& CREDIT CARDS ARE NOT ACCEPTED <br />Z-Z-3_a <br />Date <br />FEE � r � <br />�7 <br />Co�io�-c�5 <br />