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( � <br /> � ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR �TREET,EVERETT,WA 98201 <br /> I4�5-257-8810 - FAX 425-257-8857 <br /> j;1��� �Z: ._a Y#- : �3 c> ��c.4 ��;.s— <br /> . ,r c' ' �, 'r'� <br /> C � .»� <br /> PRC>JECTADDRESS - ~I � � Z"3 <br /> `y I �_n.n�-.... _��i.�...s� f_ �`-^ � � �J ` . <br /> C"'�M�a-y�'ti ` '��.-�+t ;: -j"' ;_ 'r'�x-.-� �-li-n �i..i �'/ �N'.a/jL!�� :✓ -r� :!'4 li.S' � 5 i� 3 <br /> py,r�r MellAddrocs Clty SUle21p Phone <br /> ` -�.�'3 � G S ? _ ��G J f <br /> � •l � — �j � ��'� � / ;���L 11.��.-, �.... "r�c.)o vn C.� `�'S'G 1 v <br /> Tenant MallAddro�s Clty SGIe/7.Ip Phone <br /> � 9 r -i ( �� q <br /> ���.� .���� � ���:I � � 11 J ��� �� y(c/ .SC� ....ti ��� i1, �� ���a'� i�`�1 '�/_' L�LI <br /> ElBctdcelCo dof MellAddmst Gly � SUIeZp ! Phone <br /> ���Z('/�c�_ � i �,� i -� �l :�; ss-' G <br /> Stete Licenee Numbar Contrad Pdce of Work <br /> ,-1 f' <br /> `��-1,•,_. I �� fvi f��f`''' �v�(''"L- <br /> rl— <br /> Proposed Use of Building Conted Penon (YJasRalwH <br /> i <br /> �BSCflpllOfl 0��/�/Of�!�0 80�008: .r��f�7 �� ..-!•�, `� � �t I.°�� � ^'� - �'�'� 1`-(� <br /> ,:—T---T <br /> � , "- �_ / -• � _�, .c�/ �• '�S <br /> ,v �� -i- � ' , . . ,_�,� , �, � . , � , . � < <br /> ( l ` . ��� , <br /> - � � (; v ' i �� � /' � / :'%���. __L <br /> �� t�. � . <br /> , ;t�� t1 , � "'� � , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVEREI"f PERMIT WILL BE ISSUED. WAC 298•46-740. ALl OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: VJIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABL[. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WAL�S <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI 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 E�UIPMENT VNTHIN <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 8 F AND NOT IESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CER7IFY 7HA7 1 HAVE REA� AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECf. ALL <br /> FROVISIONS OF lAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORH WILL BE COMPLETED WHE7HER SPEpFIED HE4EIN OR N07, <br /> THE GRANiING OF A PERMIT DOES NOT PRESUME TO GNE AU7HORiTY 70 VIOI A7E OR CANCEL THE PROVISIONS OF ANY OTHER 57ATE <br /> OR LOCAL LAW REGULA7iNC CONSTRUC710N OR THE PERFORMANCF OF CONSiRUCiION iHAT 1AM AUTNORIZED BV iHE OWNER OF <br /> 7HI5 PROPER7Y i0 PERFORM THE WORH FOR VhfICH APPLICATION IS MADE AND 1 COMPLY WITH iHE SiA7E CONTRACiORS LAW 18 77 <br /> RCW AND�96 200 WAC <br /> , <br /> �. „� FEE ��ja �5 <br /> Signatufe Date <br /> E�ECAP(REVE12001� � ��/_ //� <br />