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� � ELECTRI�,AL PERMIT APPL �ATION <br /> �' � CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ; 425-257-8810 - FAX 425-257-8857 <br /> �. , '� 7 . i ' ----- --- --- — <br /> �. � iil . I . '��.rU /Jrr��* l� � �.i� �"�.` <br /> PROJECT ADDRESS � <br /> 'L� � '�r'Y� �o�/ ��a--1 c /` % `1 �-K.G J�E�(L'M.S �� �y�',�� �.:;�'.:� .;c J. -1� <br /> Owner Mail Address Ciry State:Zip Pnone <br /> Tenant � Mail Address City State2ip Phone <br /> 1� 1/L, c,crti /"%� c�r,c�1 /S/�:� Gp���(�c. l✓ J>a/a.,n�r•'. /�� `� NJ�� 7°/���a7cP� <br /> Electrica�oniractor Mail Address Ci,y � State2ip � Phone <br /> /���:•= r�_"� F_�,�4/t.f `� �G, foa. �~� <br /> State icense Number Contract Piice of Work <br /> /� / �� / /� / <br /> t ,: (_r.c ,�Cr li�J 10r . S1�f��/C'11 ,�n�tl/.Jc / <br /> Proposed Use of Bui�ding (/ Contact Person (efan Review) <br /> Description of Work to De Done: , �, ,_ �r.- �c.-d t 0 c c 1-✓'� ✓ �_ �.� n� <br /> ) /� /� <br /> l <br /> _ ,�/ �C�7 (,n�i�c i) L�.r� ' lY_-� I .� �ti_ � ' '-- / D �i Z' �� c ♦c. .� <br /> �, �. <br /> ( . I ' J ^ ��^ ,' � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST EE <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 W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CA6LE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS S'fSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLt 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 EQUIP�dENT VJITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 4E MOUNTED WITHIN THE REF�CH <br /> RANGES OF WAC 51-29 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br /> l HE.REHY CEFrIFY THAT/ HAVE READ AND EXAMINED 7HIS APPLICATION ANO KNCW THE SA61E 70 EE TRUE AND COFFECT. AL <br /> FFONSiONS OF LAWS AND ORDINANCES GOVERNING 7HIS TY°E OF WOFK WILL BE COM1iPLE-TED WHE7HER SPE-CIFIED HEFEIN OF <br /> NC7. THE GFANTING OF A PEFMIT DCES NOT PFESUME r0 GIVE AUTHORITV TO VIOLA i E OR CANCEL 7'HE PROVISIONS OF AN;'OTHEF <br /> STATE OF LOCAL LAW FEGULAT/NG CONS7FUC7/ON OF TNE PEFFOFh1ANCE CF CONSTFL'CTION. THAT I AM AUTHORIZED BY THE <br /> GWNER OF iHIS PROPEA7Y TO PENFORM rHE INOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY W1TH THE STA7E <br /> CCN7FAC70RS L4W 7827 RCW AND 29F.200 WAC. <br /> � /��/ _� `;��.� FEE <br /> S�gnature ` �'� i Date � ^ <br /> eiECAPrqEVB�2007) ��(� — �% <br /> � <br />