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� ELEC'� ��ICAL pERMIT AF . �LICA'TION <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 42! '57-8857 <br /> ��I C; C T �t V'v Li."',.,c-e� �tt /L'�"�� <br /> PROJEC ADDRESS - <br /> r / '� <br /> �ll�i Na� �i..� r "''� �,J � �'ti'�GUI `�.��-�C� �' j <br /> ��,<� �� — <br /> Ow�er �dail Address Ci!y 3tate2ip Phone <br /> Tenant Fdaii Address Clty State�Zip Phore <br /> C/(LJ i"l1!:' <br /> E'eclrical Coriractor tdail Address City State2�p Phone <br /> State Licens: Number CoNrect Price o�Work <br /> ��� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> I I' I i f� <br /> De:;criptionl of Work to Be Done: ��iJ' G�. � ���� ���Z ��� iJ\ cfi{r.1 (��G- 1'1�5��"�-�°rS <br /> � 1��1-i ���c; t �Oc «f:Cac�ti " �iC�� !1-vrf� `�c� cti�'c� <br /> NOTE: PLANS FOR ELECTRICHL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUSi BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCAT ONAL FACILBIT E9 AND ALL OHEALTH CARE FACILITI SI PLANS WSLL BE REV EWED BY THIS OFFI OTHER <br /> IdOTE: W IRING IN NON-�WELLINGS IS REQUIRED TO BF. IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> 4VITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUIvt <br /> OF 15 INCNES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTN�R CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMEfJT WITHIN <br /> ; RANGES OF WAC 5E 20 S G.�N 6�b)4CE 8 FIA DR OUT LES�S THAN 36LINCHES ABOV�E THE�LOOR IN THE REACH <br /> I HEncBY C�FTIF'/ TNnT I HAVE FEAD AND EXAh11NED TNIS APFLICATION AND KNOW THE SAIAE TO BE TFUE AfJD CCRFECT. ALL <br /> r-nCViSIONS OF LAlYS ANC ONOINANCES GOVERNING THIS iYFc CF bYORK WILL 6E COM1iFLETED WHETHER SPEGFIEO HEFEIN OR <br /> ^JCt, THE GF.7NTING OF A Pc,9h11T DOES NOT PRESUME TO GNE AUTNOFITI'TO VIOLATE OR CANCEL 7HE PFOVISIONS OFANY OTHcF <br /> STATE OF LOCAL iAW FEGULATING CONSTRUC7:ON OF THE PEFFOFM11ANCE OF CONSTRUCTION. THAT I AM11 AUTHOFIZED BY THE <br /> iJ:'✓NER OF THIS PROPERTY TO PERFOFhf THE WORK FOR WHICH APPLICATION IS h1ADc AND I COMPLY WITH THE STdTE <br /> CON7RACT W iB27 FCW AND<"96.<"00 lh'AC. <br /> ��� � FEE G��U <br /> - - �'�` � �, �v u� �C� <br /> Siynature Data <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED _ ���} <br /> L �-`'j�i��- C� b � <br />