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EL�TRICAL PERMIT .� PP��r."-� � iV(V� L, <br />CITY OF E�,�ERETT PERMIT SEt�VICES �y`'�- - <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��C� 7 / �'71� /�-u� c..(� . <br />Owner <br />Tenant <br />:CT ADDRESS <br />VUt � � l�e� ;� yv�; <br />Mail Address <br />Mail Address <br />�+ <br />� �j� �0`-( <br />J�THI�v,c(c.,. � <br />City <br />Ciry <br />�o�oa-��� <br />o> � <br />l�c��, 9�2� <br />State2ip <br />Stato2ip <br />Phone <br />Phone <br />�� } !C I' L,�'cT/t�C Znc. %�o-�5�� Zli7 � y/i.v�. �-/�, 9�3C �izs- �y1-7ls `/ <br />Electrical Contractor Mail Addmss City State2�p Phone <br />,ahF�L h� `1 ���1� ���- zy-�,:, l, go� .� <br />Stale License Number Coniract Price of Work <br />C vn�� � 2�.t.�� .c��'.� � <br />Proposed Use o( Building Contact Person (Plan Review) 1G�U ��V <br />Description of Work lo Be Done: �%� �L%2 c,�'1� C: �.t T L/�T �, S� L i C<-�,�.i 1 f y�"���`'� <br />L T GHT S I� c-+� Tc� SZ��l� n� �J�-M/1C.�_ <br />NOTE: PLANS FOR ELECTRICAL WORK AT EUUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHIhGTON. APPLICANTS WITI-I SUCH JOBS MUST SHOW TH[ STATE <br />APPROVED PLANS BEFORE CITY OF EVERETi PER1�11T WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAF1E FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRE:D TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND GOMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACC�SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A f�11NIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c�'L. <br />ENVIRONMENTAL AND OTHER CONTROL R-CEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESI OF WAC SE 20 SEC.�3N 6(b)4CE & FI ANDR OTTEESS THAN 36LI CHES ABOV�E THE �LOOR IN THE REACH <br />1 HEREBY CERTIFY THAT I HAVE READ :1ND EXAM1IINED TNIS APPLICAT/CN AND KNOW THE SAME TO BE TFUE AND CORi;E�T. ACL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFiNING TH(S TYPE OF l4�OFK WILL BE COF.iPLETED WHETHER SPEGIFIE� HEFEIN OF <br />NOT, THE GRANTING OF A PERhllr DOES NOT PFESUM1IE TO GIVE AUTHOFITY TO VlOL4TE OR CANGEL THE PFOVISIONS OF AAY OTHEF <br />OtNNER OF� H�S PROPERTY�TO PERFpRARU HTEON �OFKT FOREIHI�CH�APPCI�ATION �SFhfAOE ANDH� C061PLYU1� TH' 7� E STA7E <br />CONTRACTORS LAW 7827 RCW AND 296.20D WAC. <br />Signaturo <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />S - z 9-a3 <br />Datn <br />Ed 3G5 - !3 �l <br />FEE <br />