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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �8 �a s.. <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-[57-8810 - FAX425-257-8357 �(��b�� <br /> 3.�0 � �Ot�ac� , �v�r�� WA 9ffz�1 <br /> PROJECTADDRESS <br /> ���,�J C g ( � �� S-fL. �4 v� J�.. ?f7� c�,� 5�fi' /O/ '�-�L -�1 L 1_vv„ <br /> Owner Ma1lAtltlrees Gry State2ip Phone <br /> y�.1 C,q 111 k S4z, q,ic f-'..='fit o✓�t 98/o� � c - �f 6/ - Yy�? <br /> TFnant MailA60rees CAy State2ip Phone <br /> /1 �_�;,,r�4-n, Zlc� soof �•co auc s S��`r�lt G�� 9d /s/ z.<� �G�-s , �� <br /> EleclriC31 Contf3 Mail AtlArecn Ciiy State2ip Phone <br /> � c rrNE�'`' �►Sz �� � ,5=�,n <br /> State License Number Contrecl Pnce of N✓o•�: <br /> \ /t/k <br /> Propoa?dUseotBuiWing ContadPerson iPianRev�ewi <br /> DescriplionolWorktoBeDone: �j 'rGoNNt��- � �c..�r�an�v4' C���u„��7— ���"' �v�L <br /> �'_cT�/ vu� �' Yt,[��a L� D io �*-tJf f Z� 7� 1� ��. V In� 1 )� CI l <br /> S '�h VHi� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI7ING STATE FUNCS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON APPLICANTS WITH SUCH JOBS MUST SHOW li'.F STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OiHER <br /> [DUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW[D BY THIS OFFIC.. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IIJ RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED 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 THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAI AND OTHER CONTROL RECEPTACLES AND OTHER OPFRABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TH[ REACI� <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E&F AND NOT LESS THAN 36 INCNES ABOVE THE FLOOR. <br /> I HfREBY CERTIFY 7HAT I HAVE READ AND LX4MINED 7HIS APPLICATION AND KNOW THE SAME 70 8E iRUE AND CORRECT ALL <br /> I'ROVISIONS OF LA WS AND OROINANCES GOVERNING THIS iYPE OF WORK LV.'LL BE COG�cLE i£D LVH[7HER SPECIFILD HEREIIJ OR N07. <br /> i i IE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AL'THORITY TO VIOLATE Or'.G1 NCEL THE PROVISIONS OF ANY OTHER STA i F <br /> !d?I.00AL LAW REGUI.ATING CON57RUC110N OR THE PERFORMANCE OF CONSTRUG710'J i Fl4 i I AM11 AUTHORIZED BY THE GINJER GF <br /> 7i n5 PROPERTY TO PERFORM THE WORK FOR WHICH APPUCAT ION IS M.4DF AND I CONFi'/11'�T�i THL S 7A 7E CONTRACTORS L'+lN 78 2 7 <br /> HCW lIJD 29G 200 WAC- <br /> �-� ��.,a�GS FEE <br /> ���.,1 �-- - <br /> Signature Date <br /> LR� ;:.ur�o,),1�, � , <br /> . _�,` �`� �� <br /> 1 <br />