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nAY-22_03 THU 11:11 An �-EVERETT PERnIT SERVICES FRX �"?5 257 8857 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMI7 SERVICES <br />3200 CEDAR STHEET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />—_.__.._— -- # ,P �?J�b <br />q�.����P,-� �fa.1/ l�a,� 9gzaU <br />PR�JECT hDDRESS <br />Own�r <br />M.iA Atld�ese <br />C�ty <br />Tenanl MatlAtl�rc75 ��b <br />g 1n �.�L�v�i �-�� r ��r� l R 115 I�l 1� <br />Elr,drfi 'i� Contr;�clor Mnd nddre:�s ��H <br />__�� _�� � �� $ �� <br />Sialn Lkensu Nwnbor <br />Prep. s&0 Utn u� (iuilrling <br />S�oielZ�p <br />SI�INZip <br />P, Ol <br />Pnono <br />. A ��• <br />✓ �Sw�rt2ip Phano <br />� u�U.O � <br />ConuaM Price ot Work <br />Conlact Person (Plan Reviow) <br />Or„criplionulWorktoUc[M�n: �I1�V✓�O� � I ��r <br />NOTF: PLnN:i f'OH ELECTRICAL WORK AT EDUCATIONAL. FACILITIES UTILIZING STATE FUNDS MUST 8� <br />Af'PRQVF.O BY Tf1E S'fATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW 7HE STATE <br />APPfiOVED f'I.ANS BF.F09E CI7Y OF C•VER[TT PERMIT WILL BE ISSUED. WAC ?96•46-140. ALL OTHER <br />EpUCATIONAL FAGILI7ICS AND ALL HfALTH C�RE FACILI7IF_S PLANS WILL BE REVIEWtD BY THIS OFFICE. <br />NOTE: WIf11NG IN NON•DW[LLINGS IS REOUIRED TO BE IN RAC�A`/S, MC OR AC CABLE. <br />NANDICANP[:D ACCLSSIUILITY: ELECTFIICAL ANO COMMUNICATIONS SYSTEM RECEPTACL[S ON WALLS <br />Wffl IIN ACCCSSI�LF SPACES OR ALONG ACCESSIBLE RQUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />O� 15 INCfiES AFiOVF'iliE FLOOR. WAC 51-20 SEC. 3106(c)7. <br />CNVIAONMCNTAL AN� OThfEfi CONTROL REGEPTACIEE� AN� OTHER OPERABI.F EOUIPMENT WITHIN <br />fi�N�[SInF�WAC 5E 70 SEC. SN 6(b)4CE 8 FI AND NOT LESS 7'I1AN 36�INCHES ABO EUTHE D ppR IN THE REACH <br />�— <br />1 HGFENY CEl7TIPY TFI.:T 1 HAVE RF.1[) ANO FXAMINED 7HIS APFLICATIbN AND KNOW THE SAME TO BE iRUE ANU CORHECT ALL <br />FROVfSfONti UF lAWS ANO ORb1NANCES GUVERNING TNIS TYPE OP WOI7K WlCL BE COMPLETED WHE7MEH SPC-C7flf0 HEFiElN On' <br />NCf. THF. GF lN7INC UF'A i'EHll11T MES NOT Pf:ESUME 70 GIVE AUiF10lilfY ) J VIOU7E UA CANCEL iHF PfiUVISlONS UF IWY OTNEA <br />SiA7E OR t.00AL I.aW R@GULA7iNG CONSTFUCTION OR iNE PEftFOFM.�NL1: OF CONSTRUC710N. MAi 1 AM AUTHORiZEU BY 7N[ <br />OYVNLR UF 11f1S PtiDFCATY TO PERFORM THE WOFK FOA WNfGM AFflICAAON IS MApE AMD ! COMPLY WITN 'M1�E SUiE <br />CON7RAL'TOAS UW tU.?7 RCYlAND 2�J6.:00 WAC. <br />FEE <br />Slqn, 4wn Dele <br />DEBIT 6 CFEDIT CARDS ARE NOT ACCEPTED <br />� 03d5-11� <br />