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� _o � -Uy <br /> ELECTrcICAL PERMIT API—�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STFlEET, EVE'�ETT, WA 98201 <br /> 425-257-8810 - FAX 4�5-257-8857 <br /> r; `1 <br /> '?-�% � L c� �� �. �� � • I ,i f rL'i /4q <br /> PROJECT A�DRESS <br /> OW�O� Mnd Ad�lress City State2•p Phone <br /> ("�uui�..•, . ,. ����-.1 Cf�, � wl� E ��;sa, � +' � 't� � -- <br /> TCnant Matl Address City SIiIIA'Lip Phone <br /> �,1� � ' � v � - � t � ( io��r4 4d ) ev.� , Prl 9��-0�, <br /> � i t.. � y/ui� 1��� �. � C'. <br /> Electncal Coniractor Mail Addross City Stete/Zip Phone <br /> �,�; l� ,; S N S � '� ; � �La. (��. c� I -� <br /> State License Numbor Con�rnct Price ol Work <br /> Proposod Uso ol Butlding Conlact Pe�son (Plan Heviewl <br /> " � C T <br /> Description ol Work to Be Done � � f 7""� � �'"�� �-0- .r-t� �y� L�'z�..--, <br /> NOTE: PLANS FOR ELECTFICAL WORk AT EDUCATIONAL, FACILITES UTILIZING STATE FUNDS MUST BE <br /> AFPROVED BY THE STATE OF WASHIMGTON. APPLICANTS WITH SU(:H JOBS MUST SHOW THE STATE <br /> APPROVED �LANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE F�CILITIES PLANS WILL BE FEVIEWED FiY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELL NGS IS RL'QUIRED TO BE IN RACEWAYS, N�C CR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY ELECI'RICAL AN� COMMUNICATIONS SYSTEM FECEPTAGLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES ()R ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI BE MOUNTED A MINIMUM <br /> OF '5 WCHES ABOVE THE FLOJR. WAC 51•20 SEC. 3106fc�2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHE(1 UPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCE:SSIBLE RUUTES OF TRAVEL SHALL E� MOUNTED WITHIN THE REACH <br /> FiANGES OF WAC 51 20 SEC. 3106�b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVF THE FLOOR. <br /> ' riEREBY CE�FTiFY 7M47 1 HAVE READ AND EXAMINEO 7HIS APP�ICATION AND KNOW THE 546fE TO BE TRUE AND CORRECT ALL <br /> PFOVISIONS GF LAIVS AND OFDINANCES GOPEFNIN3 7M5 TYPE OF WORK WILL BE COh1pLETED WNErHER SPECIFIED NEREIN OF <br /> N07 7HE GAANTING OF A PEFh11T OOES NOT FFESUME TO G!VE AUTHOFITY 7C VIOLATE OR C<NCEL THE PROVISIONS OF ANY 07HEF <br /> STATE OR i.0';AL LAW REGULATING CONSTRUC'ION OR THE PERFOFMANCE OF CONST(iUCi'ION. THAT I AM AUTHOFIZED B1' T'HE <br /> OIl'NFR OF 7HiS PROPER71' i0 PEFFORht �H� IM1�OFI( FOR IYHlCH APPLICA710N IS h140E AND 1 COMPLY' WITH 7HE S74TE <br /> CONtBaC7Ce;�a1V u�L'Fi',P.7ND::3,.00 tV4C <br /> FEE <br /> 9r���„v,.re Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED '_� ( '� � � � j <br />