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( <br /> APPLICATIt�N �'OR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILUING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> PHONE:(425)257-E810 <br /> FAX: (425)257-8857 <br /> / 0 3I �F _ ` VG/�I� H7�1LL L✓�1Y <br /> PROJECT ADDRESS <br /> STLVLn/ � � <br /> ��i.4�L /031 SF jv...� MA�L t✓-f z— �vc..F¢ c..� <br /> Q�,,��ef � Mail kdtlress Cily State2ip Phone <br /> E] 0✓o c.�aS A-I- L.F w I o31 S� �,�F�f M 4 tL �„r.� %��.�.lf t.� <br /> Tenant Mail Address City StatelZip Phone <br /> c�� ,� c �'o i3ux S"L65 L�., ,v �u� G,ff 58'ovC Yzs- 776- �835 <br /> Eleclr�nlractor Mail Adtlress Ciry State2ip Phone <br /> .� /0 0. o0 <br /> ti� co $SG3 - <br /> State Licen e Number Contract Price c!Work <br /> LAL o��';�._ S�t�L y L c ., 1, <br /> Proposed Use of Building Contact Person (Plan Re iew) <br /> Description of Work to Be Done: i��.5{a[L �! 1 5�� � r l�� �� �*" � �" ^"F S j <br /> / c4�. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPf�OVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBIT E�S AND ALL�EALTH CARE FACILITI SI PLt�NS IWSLLE E R V EW ED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NOPJ-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL ShIALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> E�IVIRONMENTAL AND OTHER CONTROL r�ECEPTACLES AND OTHER OPEFABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.SN 6(b)4CE & FI ANDRN�OT LES�S THAN 36LINCHES ABO OUNHE�F OOR IN THE REACH <br /> � <br /> I HEREBY CEHT/FY TNAT 1 HAVE FEAD AND EXAMINED TH/S APPLICATION AND KNCW THE SAME TO BE TFUE AND COFRECL ALL <br /> PFOVISlONS OF lAWS ANO ORDINANCES GOVE.4NING THIS TYPE OF INORK W1LL Bc c:OM11PLETED WHETHER SPECIFlED HEREIN OR <br /> NOT, THE GRANTING OFA PERMIT DOES NOT PAESU!v1E TO GIVE AUTHOAITY TO VIOGITE OF CANCEL THE PROVISIONS OFANY OTHER <br /> OINNER OF�THIS PFOPERTYATO PERFORM THE WORhTFOREWH�H APPLIO�C�ONSSpMADEN�.�JOHI COMPLYUWI�H'T/E�ST.ITE <br /> CONTRACTOFS LAW 18.27 RCW AND 296.200 l/AC. � n <br /> L; <br /> � ��od��� � <br /> FEE �� <br /> Signature Date <br />