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ELECTI�ICAL PERMIT APF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 42''r257-8857 <br />"�2�?� - Si.J ��r�c� ���� Wa <br />PROJEC7ADDRESS <br />L� � <br />Owner <br />Tenant <br />3L-CS - �.7t.roel�SV���e <br />Mail Addrrss <br />1kcC'- S��-L�. �-a��t. <br />Mail Address <br />'�� �-, �rx ���3 2- <br />cs�-�t s�,�k.��a�;�,�< <br />City � <br />�� �t'k�, P L`'3 <br />City <br />CNy <br />N�RL� N����CNR � f „(�J <br />State License Number ^ � 'U�� <br />`' 1 C7 <br />\ r+\ l L;. ..� t.i —�4--c�c�;� C c`\r' <br />Proposed Use f Building <br />Description of Worklo 8e Done: 1�,r `����' � �`'• <br />V'\��4�icn '.vul c E. e <br />� �1 `l `I 1 zt <br />State2ip Phone <br />2.�C- <br />� `Z�;144 �'�zA If^e <br />Stale2lp Phone <br />Z ��b <br />s � �1�12�\ 2�-� S�c <br />Statel7Jp Phone <br />� CC.t;; - <br />Contract Price of Work <br />�� � v•.,��q � <br />Conlact Person (Plan Re�iew) <br />�� <br />�� �in � � <br />NOTE: PLANS FOR 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 />EDUCATIONA FACILITIES AND A L HEALTH CA E FACILITI S PLANSIWILLE E REVIEWED Y THIS OFFI OE HER <br />NOTE; WIRI��G IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, �C OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS 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 FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 EC.�3N 6(b)4`E & P A DRNOT LE S THAN 36LINCHES ABOV�E T E P O RIN THE REACH <br />1 HEREBY CERTIFY THAT I HAVE READ A <br />PROVISIONS OF LAWS AND ORDINANCES � <br />THE GRANTI NG OF A PERMIT DOES NOT Pi <br />OR LOCAL LA W REGULATING CONSTRUC7 <br />THIS PROPERTY TO PERFORM THE WORK <br />RCW AND 296.200 WAC. <br />Signature <br />❑i crno�on� anm�� <br />APPLICATION IS <br />_l — �—S — C�� <br />Date <br />SAME TO BE TRUE AND COR!'ECT. ALL <br />SD WHETHER SPEqFIED HEREIN OR NOT, <br />'L THE PROVISIONS OF ANY OTh'cR STATE <br />�AT 1 AM AUTHORIZED BY THE OWNER OF <br />1TH THE STATE CONTRACTORS LAW 18.27 <br />FEE <br />CU��o�- /S.� <br />