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ELEC i���ICAL PERNlIT AP� �LICATION <br />CITY OF EVERETT' PERM!T SERVICES g��3 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881U - FAX 425-257-8857 �030�]� <br />S�2 7�������� �zo ��.u�z�2 �� �� �� �-� �p�"z�,3 <br />PROJECT ADDRESS <br />�5�27 �ow;z�.� iz� rur�2.rT �✓�� 9� zo3 <br />Owner <br />'�<0.� Sf'CSCzL S <br />Tenant <br />�'� <br />Electrical <br />State License Number <br />Mail Address <br />r/� /1 / <br />/C/T �' <br />Mail Addre;s <br />>2 <br />Mail Address <br />Proposed Use of Building � <br />City <br />City <br />Cily <br />State2ip <br />State/Zip <br />G�� — G <br />zS- <br />State2ip <br />Phone <br />w� 9��T0 <br />Phone <br />-�ag9 <br />- .'� 3>'O <br />Phone <br />Conlracl Frice of Work <br />��z �..�/ ���J� yz5� `s7C� S3}v <br />Contact Person lan Reviaw) <br />Description of Work to Be Done: /f'z /hQU�` �7 i✓G,Lj � /�i32_ `//� 7%!� L.Z C f��1 <br />�iii�i�r.`� � 3—i�rr.!!'— N�-ew �c,.,rrHr�S f/•�o c�T.i �� ; s <br />P S ,F/�u . c i� <br />L <br />NOTE: P�ANS FOR cLECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SI-IOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERF_�iT PtRMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH (;ARE FACI�lTIF_S PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IfJ NON-DWELLINGS IS REQUIfi�D TO BE IN RACE�v ^YS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIDILITY: ELECTRICAL AN� COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIEfLE 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 RECEPTACLES AND OTHER OPERABLE E�UIPAIENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBL� �+OUTES OF TRAVEL SHALL BE MOUNTED WIT111N THE REACH <br />RAPJGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFEBY CERTlFY THAT 1 HAVE FEAD AND EXAAIINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORAECL ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOFK 4YlLL BE COMPLETED WHETHER SPECIFIED HEFELV OF <br />NOT, THE �RANTING OF A PERh11T DOES NOT PRESUME TO C-IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />S74TE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORI7ED BY THE <br />ObVNER OF THIS PROPERTY TO PEFFORh1 THE WOFK FOR WHICH APPLICATION IS tifA�E AND 1 COMPLY WITH THE STATE <br />CCNTFACTORS LAW 18.D RCW AND 296.�00 WAC. <br />�/ <br />S, s <br />Signature <br />_ G `,� S FEE <br />Date <br />DEBIT & CREDIT CARDS NRE NOT ACCEPTED ���� <br />;-�� 7-c9z <br />