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606s�li <br /> ELECTkICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /O - Z7�� <br /> C- c��/O -//Z <br /> 3cc3 t�,z:�s ea���� Q�nD Eu�n�-�. �,:P <br /> ���,u�-I <br /> PROJECT ADDRESS ''') . / <br /> �-Y,Yrnlc�4 l"cF� AN�i Y �7. �f X �J �t-' �' SC'!+'TTCC 4.1 fi �R�ZY <br /> Owner v Mail Adtlress Ciry Stato2ip Phone <br /> )cE N�� 3m 5 �U��-�Z �a ,��, �'�� �'�Je/'.L� wr4- `��'�-�`� <br /> Tonant Mail Address City State2ip Phone <br /> Gg Su�S}emS Inc . � 7.zD� 1�1f /7Sm $t ►(enn+o�e tJa 960•�8 4.�5-48.�-OSS°I <br /> Eleclrical Contractor Moil Address City Slaie2�p Phone <br /> i <br /> GgsYSI'� 000cM ��� <br /> Slate License Numbor Contracl Price of Work <br /> �/� ���i��� I�d��?c,��i��� S��e�,� �ti! �'lC�.n �� <br /> Proposed Uso of 5uilding Contact Persan (Plan Review) <br /> UescriptionofWorktoBoDono: I�I �(AI\ ��rl T� ��'�-'� '�-� �-i-N�/'.�-I NC��' NE'A} ���'"�D <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FAGILITIES UTILIZING 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 EVERETT 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: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNIC�TIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FI.00R. WAC 51-20 SEC. 3106�c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT W�THIN <br /> ACCESSIBLC 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 INCHES ABOVE THE FLOOR. <br /> I HEAE9Y CE/771FY THAT 1 HAVE READ AND EXA�t11NED THIS APPLICATION AND KNOW THE SAhfE TO BE TRUE ANO COFRtCT ALL <br /> PFGVISIONS CF LAWS AND OFDINANCES GOVEA�'ING THIS TYPE OF W0.9K LVILL BE COMPLETED WHETHER SPEGIFIEO HEREIN OR <br /> NC�' THE GRANiING OF A PEFh11T DOES NOT PAESU.tfE TO GIVE AUtHORIT}'TO VIOLiTE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L.7W AEGUL4TING CCNSTFUCTION CR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIIED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOFh1 THE WORK FOR WHICH APPUCATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTFACTOF$J.AW 1H27 FC1'✓AND 296200 WAC. <br /> � �1 � <br /> / � <br /> � �� ' 7 <br /> � L �L �Q �C FEE <br /> � <br /> S�gnature � ���° <br /> DEBIT 8 CREDIT CARDS AFE NOT ACCEPTED {�U�S� L' � � 2 <br />