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ELE <br />�ICAL PERMIT APF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� 6ev e�-��/ i��d� <br />PROJECT ADDRESS <br />�u� .� e /�/Y/Z yr�, ��c C�/ �y.���./ wi� qso3� yzr �ys- <br />Owner Meil Addross City StatelZip Phono S/9L <br />Tenant <br />Mail Address <br />��/r �N �PS �.5�'r �D <br />Contractcr MailAddress <br />,�f��-�Nss /�z �P <br />Slate Licanse Number <br />�q%�— 9`!/iGL°��`S� �r�h <br />Proposed Use of Building <br />City <br />StetelZip Phone <br />9 9 8'zo / 5'is- 23'f-z/� <br />Clty StetelLip Phone <br />�p0 � <br />Contrect Pdce ol Work <br />Contect Person (Plan Roview) <br />Description of Work lo Be Done: ���Sv L! n/' / /7��r � rLa/� � <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING 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 BG REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CAOLE. <br />HANDICAPPE� 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 ABOVE TH� 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 />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br />I HEREBY CERTIFV THA7 I HAVE <br />PROVISIONS OF LAWS AND ORD <br />NOT, 7HE GRANTING OF A PEAMI' <br />STATE OR LOCAL LAW REGULAT <br />APPLICATION AND NNOW <br />OWNEF OF THIS PROPERTY TO PEFFORM 7HE WORK FOR <br />CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />DEBIT & <br />r, <br />� Dete <br />ARE NOT ACCEPTED F(`1{Grc-pZ5 <br />E TO BE TRUE AND CORRECL ALL <br />D WHETHER SPEqFIED HEREIN OR <br />EL THE PFOVISIONS OFANY OTHEA <br />V. THAT 1 AM AUTHORIZED BY THE <br />AND 1 COMPLY WITH THE STATE <br />FEE <br />