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� ELECT . �ICAL PERMIT AP� �ICATION <br /> I CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Z9 2 / • G.� L�W /-� l�'� -- <br /> PROJECT ADDRESS <br /> �1� TL',2c 2�JAs <br /> Owner Mai�Adtlress City State2ip Phone <br /> GI�S�� /ZG.I�1S �NC. L I �I— C�7JLf�J j /dl!U" LrL'�/Z�17 <br /> Tenant Mail Adtlress City State2lp Phone <br /> ��¢��N�� 1�/s V[.ny SI � r� • C � �S—YS-SN A✓�- S S C:a av,q 9���! <br /> Eleclrical Contra�1or Meil AdCress Ciry Slate2ip Phone �, <br /> L-��'-+Y /��/ ��� �C 2 — �� D <br /> State License Number Contracl Price o(Work <br /> IIrSTAU�ANf" �05: NA�j�N�L <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> Descnption ol Work to Be Done: I NS� I I ��//� 6( S�U a'� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APP�IOVED BY THE STATE OF WASHINGTQN. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PFRMIT 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: WIRING IN NON•DWELLINGS IS REQUIRED TO RE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS � <br /> N/1THIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHEFi CONTROL RECEPTACLES AND OTHER OPERAALE E�UIPMENT WITHIN <br /> RANGESI OF WAC SE 20 S C�N 6(b)4CE & FI AND NOT L S�THAN`6LINCHES A80V�E THE F�LOOR IN THE REACH <br /> I HEFEBY CF.FTIFY THAT 1 HAVE FEAD AND EXAMWED THIS APPLIGATION AND KNOW THE S4ME TO BE TRUE AND CORRECL ALL <br /> PRGVISIONS OF LA WS ANO OFiOINANCES GOVERNING THIS TYPE OF WORK WlLL BE COMPLETED IhMETHER SPEpF1EG HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT pOES NOT PRESUME TO GIVE AUTHOF/TY TO VIDLATE OR CANCEL THE PROVISiONS OF ANY OTHER <br /> OWNEfi OF�THAS PROPERTY TO PER�FORM THE WORKTFOFEWH�CH APPLI�AT/GNNSSRMADE�ANDH� COMPLYUWITH'ZTHE STATE <br /> CONTFACTORS LAW 7827 RCW AND 296200 WAC. � <br /> � . � FEE �� <br /> ,.�///�� 3S <br /> � Signature Oate <br /> DE81T&CREDIT CARDS ARE NOT ACCEPTED "� �� <br /> �-�v�-o93 <br />