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ELEG . 'i�ICAL PERMIT i4► PL..I�ATIQN <br /> CITY OF EVERETT PERMIT SERVIf�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657 <br /> � -a-R -�.S <br /> ll `�r' =�i�� {��e�{ ���u.�l ������ <br /> (���t�) sS2 c;�-c�� <br /> PROJEC ADDR{ESS <br /> ��2a��ST Cn�M�d�HiC�s Z��l �� ��v� hk� S� Str.iC'I) �u.�cx.-r� l�v;ac� �l�'1-/ti �l -1�,7- <br /> Owner Mail Address City Siate2ip Phone <br /> � T�11�' D.'c r,n /�(42 �1= r�,osr{�- �ii�i� L�t� I:M.-c�-ilNa ��`l'Z5S <br /> , <br /> Tenant Mail Address Ciry State2ip Phone <br /> �,w- pct,+�c�-hcv� J-,�r I "7?�u C� ��r��n �- f���e,-c��F(,J1 ��7KZG�F yZS-7yCG yC�Z' <br /> ctrical CoNractor Mail Atltlress City �� State2ip Phone <br /> ��k`FPI�` � � I�dl— _ ���� <br /> State License Number Contract Pri e of Work <br /> �(i� �� �.. ���s <br /> Proposed se of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �C e.v �U u �'7'L cl�e �i�!'2 �1c��1�t �17f ' �'� *yj+� � J<����' <br /> 7� ,� �_ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE SfATE 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 /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEUJED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAfJDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED A «iINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT U;'THIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE F?�ACIi <br /> RAfJGES OF WAC 51-20 SEC. 3106(b)4 E & F AND N'�T LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FY THAT I HAVE READ AND cXAMWED THIS APPLICATION AND KNOW THc SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF U7WS AND OflOINANGES GOVERNING THIS Tl'PE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OH <br /> IJOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVc AUTHORITI'TO VIOLATE OR CANCEL THE PROVISlONS OF ANY OTHER <br /> STATE OA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS IdADE AND 1 COIdFLY Wf,'H THF SrA1c <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. � <br /> 7 <br /> //�%7r/S%t� � �- C, C, FEE <br /> � <br /> � <br /> Sig e � Date <br /> L <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ,—. � ' <br /> -,�-%L: ' ���''./' <br />