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ELECT�`ICAL PERMIT AP� ��CATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � n i <br /> ��s � c�.�-o i�a� '�//?. �✓yut'� �Szo� � <br /> PROJECT ADDRESS � <br /> r�/i1 ��-�n��T��z� Po�'_ ���`7 /�jf/%CC Gt/�- . <br /> � <br /> Owner Mail Addreae Clry SletelLip Phane <br /> � y � I�lAQ�7 ZOS � G'ir5iN0 �A� "�/(� Cf✓GS•�E7`l: h//-�- ��7/� <br /> Tenent � Mall Address Ciry StalelZip Phona <br /> Electrical Contractor Mail Adtlrese Ciry StatelZlp Phone <br /> State Llcenne Num6er Contrect Price ol Work <br /> Proposed Use ol Building Canlact Pereon (Plan Review) <br /> Description al Work to Be Done: /��101-A i/cd 0� �°pry�dj�'S50P.�E'oi✓��n�5/N6, lpt�/7S �i�'�K <br /> ->� -A��i'G i✓SiD/% �� CC��,�D ��A��� /?�AR�E'�� T L� _ <br /> 0� D � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHCW THE STATE <br /> EDUCAT ONA FACIL TIES AND ALL OHEALTH CARE FACIIITI SI PLANS WSLLE E REVAEWED BY THIS OFFI ETHER <br /> NOTE: W IRING IN NON-DW ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WAILS <br /> W ITHIN 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 EOUIPMENT VdITHIN <br /> RANGES OF WAC 5E 20 S C�3N06(b)4CE & F'AND OUT L SS THAN 36LINCHES ABO E THE �LOOR IN THE REACH <br /> 1 HEREBY CER7IFY THAT I HAVE FEA� AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> PROV!SIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFlEO HEREIN OR <br /> NOT, 7HE GFANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW AEGULATING CONSTFUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br /> OWNEA OF THIS PROPERTY 70 PEFFOFM THE WORK FOR WHICH APPLILATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTFACTORS L4W 1 A27 RCW AND 296.200 WAC. <br /> wG'"`'�-� q�b/O Z , FEE <br /> � <br /> sipnature oale <br /> ELECAP�REV B@W�I F O Z.O q—OS(p <br />