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ELEC� �RICAL PERMIT A�C?LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> a'�T 3200 CEDAR STREET, EVE9ETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �zr <br /> 2r9- �F�g <br /> PROJECTADDRESS 4`� y <br /> �o ti�r� 1�. '�I�G�Pr 5�6,? � �/L�a �/�'�e �verc � GlJ�Ci b'Zo 3 z >9 -5<018 <br /> Owner <br /> Maii Address , Ciy S�ate/Zip Phone <br /> SC <br /> Tenanl � Mail Address City StateZp Phone <br /> Electrical Contractor Mait Address City SlatefLip Phone <br /> State License Number Contract Price of Work <br /> nOi�..rnl� b//(/��(�N <br /> Proposed Use of Building Contact Person lan Review) <br /> n . / / / ,.f� / � b <br /> DescriptionafWorkloBeDone: CL�Ut/'G r!*� 11.�ysr, ('�?�a,zr�G '�e ��'�v r � � <br /> � c HGi.) ���C . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY TNE 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 /> [DUCATIONAL FAG;LITIES AND ALL HEALTN CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWEI.LINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIGNS SYSTEM RECEPTACLEB ON WALLS <br /> OF SI WCHESSABOVE THE FLOOR. WAC 5120 SEC 3106(�2 TES OF TRAVEL SHALL BE MOUNTEG A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N 6 b)4CE 8 F� ANDRNOTTL SS THAN 36 I CHES ABO EUTHE�LOOR IN THE REACH <br /> I HEREHY CERTIFY TiiAT 1 HAVE READ AND EXAMIP'ED THIS APPLICATION AND K�IOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> PAOVISlONg qF LAWS AND ORDINANCES GOVErN�hG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIC-D HEREIN QR <br /> NOT, THE GFAN-�+''G OF A PEFMIT DOES NOT PRECUME TO GIVE AUTHORITY TO VIOLATE Ofl CANCEL THE PROVlSIONS OF ANY OTHER <br /> STATE OR LOCn� :.AW AEGULAT/NG CONSTRUCTIOA' OR THE PEFFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF rHi 5 PFOPEATY TO PERFORM THE WOAK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTFACTOFSLAW 78.27ACLYAND296.20U WAC. <br /> ��'.-�n'4 /4� I � ^ �� �!� � FEE <br /> Signeture Date <br /> ELECAP(PEV BfZ00t� €C Qn��L <br /> ��.. <br />