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ELECI rtICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �1�13� 'r��� - <br /> PROJECT ADDRESS <br /> i-'�r �zr�r�� 1���� � ��{3a C���,cz a�iz �� � � qg� - - <br /> Ownei Med Aedress Cny Stete2�p Phone <br /> Sn H <br /> T6nenl Mml Addre55 City Stale2ip Phone <br /> AAc�o� EL�r � Co�s� ►9J�o `�3�r�,���-� ��Kt�-,�sN �JA �r8�� <br /> , � <br /> ElecVical ContreCtot Ma,l Address Ciry Stete2ip y2� �h�a_(o�5 <br /> AA�� F.�Er r'�SO �U 1��� °.5�. <br /> Stete license Number Conlract Pnce ol Work <br /> \'��S l��f�l �11..1.� <br /> Proposed Use ol Buildmg Contacl Person (Plan Review) <br /> �I l <br /> DescnpUonafWaktoBeDone: �.p G-�A1�1C�� �x�l� ��� ���''�� - <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLIC�NTS WITH SUCH JOBS MUST SHOW THE S7ATE <br /> EDUC�ATIONAL FACILBITIEOS AND ALL H�EALTH CARE FACILITI S'PLANS WSLLE E REV EWED BY THIS OFFI OTHER <br /> NOTE: VJIRING IN NON•DVJELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIL'TY: ELECTRICAL AND COMMUNICATIONS SVSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. W�C 51-20 SEC. 3106(c�2. <br /> ENVIRONMENiAL AND OTHER CONTROL RECEPTACLES AND OTNER OPERABIE EQUIPMENT WITHIN <br /> RA JGES OF WAC 5E 20 SEC �3N06(b 4CE 8 FI AND NOTTLES�S THAN 36LINCHEB ABOV�E THE�LOOR IN THE REACH <br /> ; HEREBY CEFT�FY THAT � HAVE READ AND EXAh11NED iH15 APPLICATION AND KNOW ThE SAME TO BE TFUE AND CORFECL ALL <br /> nFGV�Si0N5 OF LA WS AND OFDINANCES GOVERNING THIS 7YPE OF WORH WILL BE COMPL�TED WHETHER SPEGFIED NEREIN OP. <br /> yi;T. 7HE GFANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CAh'^.EL THE PROVISIONS OF ANY 07HER <br /> SiA7E OR LUGAL U1W FEGULAT/NG CONSTFUCTION OR THE PEHFOFMANCE OF CONSTFUC710N. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF TMIS PROPERTY TO PERFOHM THE WORK FOF WHICH 4PPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON7FACTORS I.AW 1877 FCW AND 296200 WAC. <br /> � J�+ � l Z.,.-'�1�—, �u��� � � ��3 I Fr•e <br /> S iqnuW rn DBie <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E o 3��-��3 <br />