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, - <br /> ELECT � ICAL PERMIT A►PI-�IC�TION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /C l / /n n b�,rc� /� ✓c <br /> PROJECT ADDRESS <br /> A-,� �./i;�cf5cl,c��.�� /�/,S Co.-,/�ar-r� f�✓E' �vc�c � G✓� r18'LOl ��125�252•$744 <br /> --o <br /> Owner Mail Address City State2ip Phone <br /> IJa,-,e <br /> Tenant Mail Address Cily Stale/Zip �hone <br /> �/�' - L.o F/e�Tr��C 1nC, !z:�o y'`' Avc !ti� �.,;:le �"`lo( F✓e�c�� �✓� 4c�'Z�l (y'zs)355-9643 <br /> Electrir,al Coniraclof Mail Address City Slate2ip Phone <br /> </£LOEEi 467LQ �S3ys - 8� <br /> S!ale License Number Contract F�ice of Work <br /> .icfci,�ik�ri.� �\C'S;��fenLC' <br /> Proposed Use�f Building Contacl Person (Plan Review) <br /> DescriptionofWorktoBeDone: ��^��-'��7� �����1'C �� c��� ,�ho�j � /H�je ���rC�.1�5 <br /> /v� ���?C� S � �+o...Sc' �F G�ra c�c _ <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS 1n�ITH SUCH JOBS MUST SHOW 7HE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE iSSJED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACI�ITIES PLANS W!LL BE AEVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE !N RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COM�4UNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCE5SIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPT,4CLES �4ND OTHER OPERABLE E�UIPMENT WITHIFI <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES dF TR,4VEL SHALL BE MOUN'fED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THA� 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CEFTIF)" THAT 1 HAVE READ AND EXAi�iINED .THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TY?E OF WOFK lh'IL� BE COMPLETED WHETHER SPECIFIED HERE/N OF <br /> NOT, THE GRANTING OF A PEFM/T DOES NOT PRESiIME TO GiVE AUTHORITY TJ ViC�LATE OR CANCEL THE PROVIS/ONS OFANY OTHER <br /> STATE OR LOCAL LAW REGUL7TING CONSTAUCTli;:V OR THE PERFORMANCB OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORh1 THE lh'ORK FOR WHICH APPLICATIDN IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> /� !�<� �- �('� 'O'7 FEE <br /> i�,_ <br /> Signa�ure Date <br /> DEBIT&CRE�IT CARDS ARE NOT ACCEPTED Eo4�1-A� <br />