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� 1 <br /> ��:�� ` `� ` ` EL � CTRICAL>PER}MIT APPLICATION <br /> "- ' °'�` `CITY...,F- EVERETT PERMIT SEF� JICES <br /> � " 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��(li� / t�;� ,_���'�<<iQ.�'��/ � <br /> PROJECiADDRESS <br /> I:"' ).�� 1;'; `� 1i�, i{ . /l ^ ^, j `J��/-�`IS= 5'�%C, <br /> �� 7G117 U�h i �i irili ii, ( ) 1/u <br /> Owne� Mail Address Ciry Stato/Zi <br /> p Phono <br /> ;_� �� '�� n.� _ - r, -- _ � �, '�c�� �rc(,l_ <br /> ' Gc�)u� 1 -�.> > . i> ,n �' S�- l�l� urnr-���iS l.',7ilrr�'>•�L 3b'/c�.i YY`iJ <br /> , , <br /> Tnnanl MailAddress Ciry StatelLip Phone <br /> `l�r'\��I ' IGC'�1 _ �'.I-l"i 7"Y' l. ?--�'����� c���.H�a. �. F< It��' � Ir�r., � LL�1-7 � �I�C'Ll� '�a'�'- Y'��07� <br /> ElecMcal CoNractor Mzil Addross City ;� SlatefZip Phono <br /> `7 �cj11t8� lY4f �'76) �.��f1`^� �/<�r ..l il�':i''cl <br /> Staiu�cans�Number Contract Prico of Work ' <br /> �C� � <br /> - �„ ��i�. , � l- ���.,�� � � <br /> Proposed Use of Building Contact Person (Plan Revi w) <br /> � �/ <br /> Descnption ot Wark to Be Done: _"� ��� � �1q {'� ���9 r'1 i( ��1<!✓� � `7: ��� i � /7�J r j � <br /> /'�>C� I% ��L�Vtc.��'� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVEf) 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 BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: E�ECTRICAL 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 THE 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 AfVD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINfD THIS APPL/CAT/ON AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PqOVISIONS OF LAWS AND OFDINANCES GOI�EFNlNG THIS TYPE OF WOFK WILL BE COh1PLETED WHETHER SPEC/FIED HERFIN GR <br /> NOT, THE GFANTING OFA P[FA11T DOF_S NOT PFiESUbfE TO GIVE AU7HCFI7Y TO VlOL7TE OR CANCEL THE PFOVIS/ONS OF ANY OTHER <br /> STATE Oq LOCAL I�1 LN REGULA77NG CONSTFUC710N OR 771E PERFOFMANCE OF CONSTRUCTIOM THAT I AM AUTHOAIZED BY TNE <br /> OWNER OF THIS PFOPERTY TO PEFFOFAf THE WORK FOR WHICH APPLICATION 1S MADE AND ! COh1FLY WITH THc STATE <br /> CON7RACTORS lAW 18.27 FiCW AND 296.200 INAC. . <br /> . � <br /> ✓ � 1/J, /� <br /> �} ' ', �, � <br /> �'.1._),..,�,,•r�,'t ��l�,U � � ,c:S FEE <br /> - Sigr.aNt6 - � Dxte <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED "' � <br /> ��,� � , <br /> � � <br />