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ELEC : �ICAL PERMIT AF _'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-157-8857 <br />c�o9 N. �a�o��;i �� <br />PR �JL'CT P.DDRESS <br />��FYrJ G 4/G /'AC/l�i� R�F c�Yfit�i; � <br />Owrn?r <br />Tenanl <br />Mail Address <br />Mail Address <br />C4:'(��(i LVI� ��CL <br />�,ry <br />City <br />l✓A <br />State2ip <br />State2ip <br />�o_�0-06 <br />C—O6/b ''n S Z <br />Phone <br />Phone <br />El�clrical Contraclor Mail Address Ciry � � State2ip Pnone <br />RoDGF�GZ 3zP�i � 2oc�, a�o • o� <br />State License Number Contract Price o( W ork <br />,�1l.t°".S — �[3/GUn/�i� , r:. ;,�.; _ : z. �,jF� D�S'FN <br />Proposed Use of 8uilding Contact Person (Plan Revie�•r) <br />Description of Work to Be Done: <br />Lt <br />Pf�lbn�', oRn9 ,, �Tc. ' - <br />�fo,t3 # l08 / <br />NOTE: PLANS FOR EL[CTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS 61UST 6E <br />APPROVED BY THE STATE OF WtiSHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPRGVED PLANS BEFORF CITY OF EVERE'iT 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 RE�UIRED TO BE IN RACEWAYS, Iv1C OR AC CA6LE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMfv1UNICATIONS SYSTEM RECEPTACLES ON NJALLS <br />WITHIN ACCF_SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE R10UNTED A ��11NIh:1UP.1 <br />OF 15 INCH�S ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPP�IENT WITHI�d <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED 4VITHIN THE REACH <br />RANGES OF WAC 57-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE F�OOR. <br />I HEFE9Y CER7IFY THAT 1 HAVE FEAD AND EX.7h1LVED 7HIS APPLICATION AND KA'OW THE SAb1E TO 8E TFUE AND COFFECT. ALL <br />PFOVISIONS OF CAWS ANO ORDINANCES GOVE,9NING THIS TYPE OF WOFK W1lL EE CC5IPLETtD LYHEiHER SFEC(FIED HEn'�iN CR <br />NOi, THE GFANTING OF A PEn611T DOES NOT PFESU6fE 'O GNE.:UTHOFITY TO VIOLATE GR CANCEL THE FFOVISIONS OF ANY O i ti�R <br />STATE OR LOCAL L4W FEGULATING CONSTn'UCiICN On TNE PEFFOF,VANCE OF CONSi n'UCTlCN. THAT ! AM1f AUiHCFI��D FY THE <br />OIVNEA OF THIS P ERTY TO PERFOFM1I THE WOFK FOR WHICH APPCICATION IS hfADE AND 1 CObiPLY WIiN TNE SiATt <br />CONTnACTOFS L��B�j' FC W AND 296200 WAC. <br />IO � 0 �p FEE � 2� Z 7S ^ <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �'�� j 7-',� <-' <br />