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w1� <br /> �� :,. <br /> �� ELEC�'�ICAL PERMIT AF� �LICATInN <br /> CITY OF EVERETl' P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl-f", WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��t' � c.1rE �L'�1'L�1 j' h/�/�l/L �� � �I/l �T� 2 �� <br /> PROpJ�E�CT�ArDDRESS ,�{,?� �,�'`�, � n f� <br /> �JV[:IIiL � ��'1�6'Fi (J�'�'!� ��etJ/9�i�I �0/D J� �t� /N4l�( Wfhf �{'kl}�' /C%�' <br /> f <br /> U�vner Mail Adtlress Ciry State2ip Pncne <br /> ��GV O��,F- <br /> Tenant Mail Address City State2ip Fhone <br /> �,'�MI�S �1�R�7►��f� ��' IOS2. �G�fi'. �'�� 9��► <br /> Eleclrica!Conlractot Mail Address City S te2ip Phone <br /> r�o����3�,a � �,°_� �c� �R,_. <br /> State License Number Contract PriQe of V.�rk <br /> 'D�lr•t°' SP��. . <br /> Proposed Usa of Building Cuntact Person {Plan Reviev:� <br /> Descripticn of Work lo Be Done: ��-(/4�/��� �9� �J�/� W��J � ,YI D �S� <br /> �.S'�nR F �,�acr�✓� �4w� ,D� tr>�r;,J' , �n/J �1'am�". <br /> d£V/GFS • <br /> C16� � �� � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS P.1UST BE <br /> rPPROVED DY THE STA7E OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHO�V 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�.NILL BE REVIEWED BY THIS OFFICE. <br /> f IOTE: W IRING IN NON•DW ELLIN aS IS REQUIRED TO BE IN RACEWAI'S, tv1C OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPT;;CLES ON ;'lALLS <br /> �:/ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE P.tOUNTED A P+11�11P.1U�.1 <br /> OF 151NCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> EDIVIRONti1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPNiENT �'/ITHiN <br /> ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL BE NiOUNTED WITHIN THE RE.�CH <br /> I R,ANGES OF WAC 57-20 SEC. 3106(b)4 E & F AND NOT LESS THAh 36 INCHES ABOVE THE FLOOR. <br /> � <br /> ' I H�.4E6Y CERTIrY THAT 1 NAVE FEAO AND EXA'dINED THIS APPLICATlCN AND K,VOLY TH= SAM1fE TO BE TRUc AND COFn�Ci. A'-'- <br /> i FnOVI510N5 OF L7WS AND OF.OINAh'��S GOVE,9h'ING THIS TYrE OF LVOFK IVILL EE COS1PL=icD NJHETHER SPEGFIED H�n:iV Cn <br /> ;iv^T, TNEGFANTINGOFAPEiihfli DCESNOTPFESULIETOGIVEAUTHORITYTOVIOL7TcOnCANCE! THcFFGVISIGNSOrANYOir-ER <br /> $i qTe OR LOC.?L C;7'N FEGUCA'fING COPlSTnUC710N OR THE PEFFOnS1ANCE Or" CONSTnUC7lCN. iHAT;Afd AU'f'nOFIZ°D 5v i,"-' <br /> �C�^;E.R OF THIS PEATY TO PERFOFhf THE NlOFK FOR WHICH APFLICATIOP! !S �.IADE AND 1 COiIiFLY WIiH iri` SL:T_' <br /> ^;7�-0C70RS L7 1 27 FC W AND 296200 WAC. <br /> � � �j � �� FEE � � � � <br /> � Sl,qr, t .a � Datz <br /> DE61T & CFEDIT CARDS ARE NOT ACCEPTED , _;� %! <br />