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ELE� 'RICAL PERMIT A: -PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820I <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 33L(o P� ihe A+c . C-vu.�r� 9PZo� <br /> PROJECT ADORESS <br /> _Gruu<R P�op�,��,�� <br /> Owner Mail Aodr�ss City StafelZip phone <br /> �xPlaBk� spvaaz S9iT 6„r �+ Evwc�lf� w/i 9P�3 yzr-zae-�czr <br /> Tenant Mail Address Ciy State2ip Phone <br /> Elecirical Contractor Mail Address Ciry Stata/Zip Phone <br /> �//�� <br /> State License Number Contract Price oI Work <br /> �7�i�O.c �ili.T�a/� (a�+1AIJ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of'Nork to Be Done: .yn� 77rcc Li�.�fF✓ �iT Si4 i.f �` Os�•u� �xFJ�N��_ <br /> i <br /> L.y !�fii✓y , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATF. FUNDS MUST BE <br /> APPHOVED 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 /> E7UCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTAC:�_ES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF fRAVEL SHALL BE MOUi�TED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 31J6(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 /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERT/FY THAT I HAVE READ AND EXAMINED rH15 APPUCATION.4N0 KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOr7K INILL BE COMPLETED WHETHER SPECIFIED HERE:N OF <br /> NOT, THE GRAN7ING OF A PEFMIT DOES N07 PFESUME TO GIVE AUTHORITV 7��VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAI LAW REGULATING CONS7FUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUT.4CRIZED BY THE <br /> OWNER OF TH/� PFOPEFTI' TO PERFORM THE WORK FOR R�HICH APPlICATION IS MADE AND 1 COMPLY WITH THE S7ATE <br /> CONTRACTORS LALY /8.2i RCW AND 296.200 WAC. <br /> V IL' -,..C�L G�� �,�/���3 FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEFTED E �3��l-c�8�n <br />