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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �,3CJ t.vn�s�v S7— <br /> PROJECTADDRESS � <br /> 'i'I� 2C l l �S'- /3'"` srt �' ��U � ,�,�,.4-� ,_ cuy4 9&�� r vzr-3�y-lsyz <br /> Owner M.ii�eano ���y <br /> 9bblzlo PM1one <br /> Tenant Meil Address � <br /> ��Y Sh'telLP Phone <br /> % � a� C-' le�_�ic / y' 7�,q,�-c S 5�4.�-4-/{ �`r,� 9b/�b �u� ���6 s2w <br /> ElectncalContrector MailAddress <br /> ��Y SlatelZiP Phone <br /> I lr- �/9 E�_ ����� IY� l/ � /�.� <br /> Stete License Number . /c , C <br /> Contract Price of Work <br /> ��.,�,�,e��,� r����-�� /�� �N�lI <br /> Proposed use of Builtlmg Contsct Person (Plen Review) <br /> Description of Work to Be Done: �/Ot C t TQ�l-'j-/� �'�j��„ 5 �� � �,� � — <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDPi MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 2gs-4s-t4o. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BF REVIEWED BY THIS OFFICE. <br /> NOTE: WIRINGINNON-DWELLINGSISRE�UIREDTOBEINRACEWAYS, MCORACCABLE. <br /> HANDICAPPED ACCESSIE3ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-2D SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPER,4BLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RnNGEs oF Wqc 5�-zo sEc. a�os(b)a E 8 F AND NOTLESSTHAN 361NCHESABOVETHE FLOOR. <br /> f I NEflEBY CEFTIGY TMqT I NAV£ READ AND EXAMINEO TN/S eaaucervoNAND RNOW 7HESAMETOee TNUE AND COFflEL1. AL( <br /> I PROVISIONS OF LAWS AND Oa o u.e H c e s c OVERNING TH1S T1S�E OF WORK WILL HE COMPLEfEO WHE7HER SPEqFIED HEREIN OR NOr. <br /> THE GRANTING OF A PERM/T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTNER STATE <br /> OR LOCAL LAW REGULATiNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIOK THqT I AM�u rH o n�z e n e r rH e o w NER OF <br /> 7HI5 PROPERTY TO PERFORhf TH WORK FOR WHICH APPLICATIONlS MADE AND I COMPLY WI7H THE STATE CONTRqCTORS LAW�e.:r <br /> RCWAND )GE.tpC AC. <br /> �/� �i.�� 7��5�� F — <br /> / EE J`J <br /> 'Sig ature Date <br /> i <br /> t�eceviq[ve;:ooii <br /> ��1W 7'��t� <br />