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llec 01 09 02: 34p p. l <br /> � � I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425•257-8810 - FAX 425-257-6857 <br /> �'r�1=�C�� I ��r'Yk�i.c��] _ <br /> PROJECT ADDRESS <br /> Ovmer Mail MJrcss Ciry Slalc/Zip Phonc <br /> ; , ���;-�4`7 - <br /> C ���� ��%Y � ' � � ':/ l�Jf� �%y'''� .-, <br /> f 6F'r'�Ir'PEi7l��tci''ZGv �v r�f1 , ,� �.::�.ti. <br /> Tenant MailAdtlress � Clly Stalc2ip PAoneL�ZJ <br /> �.l�1c(% i� G %f'��/�G Jitc ;U;lc, �;�n�!S1..S.V'✓°�fl �N�7r�c%ckx% r.lJ/l ��f0�%� 7`t�-U�S`� <br /> Eleclncal Contrac,or Mall ACOress CAy Slatu2p Phonu <br /> �;�;„jf�:;ri;�,�=;n�- ,� I,!%0, ov <br /> Stale Licenso Number Contfatl Prica ot Work <br /> 7 <br /> ii��i��i!��;`/,�"'�J c�S l��,c?�"��l<•��i/I <br /> P�oposed Usc of Ouilding Contael Person (Plan Revicw) <br /> Deseripiion ol Wo�k to�c Done: G�G� �'t� � llC�l C�G`/ ����� /� �'l7� %� �2'�l�-5 . <br /> I�'�i;�7 `>.:'cvrr G avle� . <br /> NOTC: PIANS �OR ELECTRICAL. WORK AT [DUCATIONAL, FACILITIES UTILIZING STATC FUNDS MUST BE <br /> APPROVEO f3Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHO�N THE STATE <br /> APPROv[O PIANS 6EFORE CITY OF EVGRETf PERMIT WIIL BE ISSUED. WAC 296-06-140. �LL OTH[R <br /> EDUCATIONAL PAqUTIES ANU ALL HEALTH CARE FACILITI6S PLANS WILL BE REVIEWED EiY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS R[aUIR[D TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM R[CEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIDLE ROUTES OF TRAVEL SIiALL �E MOUNT[D A MINIMUA9 <br /> OF IS II�CI i[S ABOVE 71i[FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTH�R CONTROL RECEPTACLES AND OTHER OPC-RAEiL6 CQUIPM[NT WITHIN <br /> PCCESSIBL[ SPACES OR ALONG ACCESSIBLE ROUTC-S OF TfLWEI SHALL BE MOUNTED WITHIN THE R[ACH <br /> RANGLS OP WnC 51-20 SGC. 3106(b�l E R F AND NOT L[SS THAN 36 INCHES ABOVG TH6 FLOOR. <br /> 7 HFR[13Y CErTIFY 7NAT I HAVE F•FJ1D AND E�i16fINED THIS APPIJClITiON AND KNOW 7HL SAA1E 70 DE TRUE AND COHRECT. ALL <br /> pnOV1 tiIONS OF W WS AND OROfNANCES GOI'EFNWG TlllS TYPE OF WORK 157LL 9E COMPLC-TED WHETNER SPECIFIEO HEIiFIN OR N07. <br /> 7FiE GhAN7f:JG OF A PEHhf1T DOES NOT ARESUAfE 70 GNEAUTNORI7YTO VIOLITE OR CANCEL TNE nROV.'S:ONS OF ANY 07f 1FR STA iB <br /> OR LOCAL LAW REGUlATING CO:JSTRUCTiGW OR THE PERFORMA7JCE OF CONSTRUCTfON 7HAi I AAl AUTNOR¢ED 3Y iHE 01Y7:ER OF <br /> THIS PROPERTY i0 PEFFOR.V TNE R'oRK FOR 15�111CHAPPLICA710N IS AfADE AND I COA�PLY WITlV THE STATE CONTRACTORS W W 18.27 <br /> RCLVAND29G.20L WAC. <br /> /? i�,�/ <br /> �_�i��,��fj;.-•/'. IL/�Z���� /� /��CJC��j FEE <br /> ' ' ��/�•1 Q-'t <br /> -' � Datc <br /> ,$ipnaluro <br /> El[CAP�REVBC0.11) l- ,�i I `� - J�� <br /> � Ul <br />