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ELEC�4ICAL PERMIT AF�'LICATION <br />CfTY OF EVERE�T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />.�:�� ��^t�(�� t��i� I�(��1C°X �'_• <br />PRQJECT ADDRESS Su��IG IUI y.�$' 7�`/" <br />{-a-�j-,I�;l,`,_� IC��c r�l'1('��'1rC �5��( ��ii�-;� !vr LG.k:�z S�;!u� i.c�h� �'f�5� 3.^�/ <br />, <br />O�vner A1�il Address City State/Zip Phone <br />7enant <br />1,1ai1 Address <br />Ciry <br />Elecirical Coniracior Mail Address Clry <br />�<'�%r7�� �Iluc7r� <br />State License Number <br />.�� �?��-X - <br />'rioposed se of Building <br />Description o( Work to Be Done: (,L)� �'�I Il,�� ii•\ � <br />State2ip Phene <br />.j a.� <br />.. /1i:... . � , <br />StuterLip Ph;�m.� <br />%��� <br />CoNract Price of Wod< <br />Cantact Person (Plan Review) <br />IJOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS R�1UST BE <br />APPfiOVED BY THE STATE OF WASHINGTON. APPLICANTS \NITH SUCfi 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 6E REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE I� RACEI��AYS, h4C OR AC CAQLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON I��ALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A �v11NiI�4U��4 <br />GF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONM�NTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FEACH <br />RANGES OF WAC 51 •20 SEC. 3106(b)4 E& F AND �OT LESS THAN 36 INCHES A80VE THE FLOOR. <br />i,^EnEBY CEFTIFY THAi 1 H.:l c RE.4D AND EXnM1fINcD THIS APPLICATION AND KNOW TN� SAh1E TO 8c TnUt AND COFFECT AL_ <br />==�OVlSIONS OF L�iINS AND OFDINANCES GOVER�'li1'G THIS 7YFE OF VVORK lM17LL 8E COMPLETcD INHETHEF SPECIFIcD HEnEIfJ CR <br />'0 i. T,He uFANTING OF A FEnMl7 GOES NOT PFESUh"E TO GIVE AUTHOFITY TO VIOLATE OR C.4NCEL THE PFOVISIONS OF.4NY OT'r.'cR <br />''c na inr�e,r � a,iy o���'�r!:'� ��:',�,*p,�'�,T,'Q": Q,S "'E FEhFCn�.;.:fJCc v� CvfvSin'uCTiOiJ. T'nrii l.iii�i nUi'nvni<ciu oY int <br />,�:'I�\'cR OF TN/S PRO''ERTY TO PEFFOF61 7Y,t li'CnK FOR 1V41CH ArFLlCATION IS h1ADE AND I COLfPLY ll7TH THE SiATt <br />�:.1'TnACTO�'iS LA4K78.27 nCIY AND :9b.200 l'✓AC. <br />GS FEE <br />DEBI � E61T CARDS ARE NO'f ACCEPTED � 5 q <br />p p �7 6 <br />