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ELEC�RICAL PERMIT AF�'�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-25.'-8857 <br /> ��1 C�f-�in/0 ��11 � p <br /> PROJECT ADDRESS <br /> �-alloloQ.p', �=�1 F-��ri �JLS TM �.,/�� P•6 (23 Za ���1,�--. 7.Os sca •3 s31 <br /> Owner Mell ACdress Ciry StetelZlp Phone <br /> ` / e �s�'�s;No � A Yzs- zs�_6soy <br /> �/ I�AANS I�EL� .�1/��rr—�r' V�l��1i1�6�F+'�V �{uo�JC� Do <br /> Tenant ` Mall Address � �.CJ1y Stele2lp Phone <br /> 7 �v <br /> �1�3a+� l � � rr-�s �� -�,I s�, � �.�r z� � 3��-�s-sy <br /> Electdcal Contractor Meil Address Ciry State2ip Phone <br /> L/Qf�A�tl �FO 2`�� Q S—W� <br /> Stele License'Number Contrac!Price ol Work <br /> � � �d G�c �c e�s �iy-3�s�3 <br /> Propoaed Use ol 8ui�ding Cantact Person (Plen Review) <br /> Description of W�rk to Be Done: �Ti>i� O�Z�I� — SuU1'R4{�-�'s ^ ��Vil{� ' /l�F.b✓ �LCo�/ ��'J <br /> �✓� <br /> NOTE: PLANS FOP. ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFOFE CITY OF EVERETT PERMIT WILL DE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND AlL HEALTH CAfiE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE, <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRGN`4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <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 & F AND NOT LESS THAN 36 I�ICHES ABOVE THE FLOOR. <br /> 1 H[REBY CERTIFY THA7 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OPDIN�NCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br /> NOT. THE GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUrHOflITY 70 VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTqUCT10N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIIED BY THE <br /> OWNER OF THIS PROPERTI' TO PEFFOFM 7HE WOFK FOR WNICH APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br /> CON i RACTORS LAW 1 H27 RCW AND 296200 WAC. <br /> _�� <br /> ` FEE <br /> Signelure Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEP7ED <br /> ���o� z�99 <br />