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� ELECI ��I�AL PER�VIIT APs - LIGAT'I(�N I <br /> CITY OF EVERETT PEI�MIT SERVICES '� <br /> 3200 CEDAR STREET, EVERGTT, WA 98201 , <br /> i 425-257-8810 - FAX 425-257-8857 <br /> - - � � i>(� n �.� I <br /> 7 O6 � � � �� JJr <br /> PROJECT ADDRESS <br /> Sc�s�t.f_ — <br /> Oc:ner MailAddress CiP� Statc'Zip P����`.� <br /> /l�� <br /> Tonanl Mail Address Ciry State2ip Fhone <br /> ' '� GutST E�Cc7rcli �lDo3sstarrt� Q-�^-� �✓-�v�e�f l��/ y�S�- 7S�1-�n7i <br /> �Electrical Contraclor Mail Atldress City State2ip Phone� <br /> `: r'L�l-f�f��/ �'"�,�-��� -- <br /> Siate License Number Coniract Pnce of l�'Jork <br />�. � � � ��i �-C — <br /> Proposed Use ot Building Contac' Perscn iPlan Rcvic:U <br /> Uescription of Work to Be Done: �v w��. ��Y" V '"��'P—C�'QJ Q� 1/�3'ci�' ON�') S�'•���P'� <br /> ���N� �'W4 � b�� /,c-t� 4 �C/'QQ� • - i <br /> — v <br /> NGTE: PLAfJS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> ?PPROVED PLANSEBEFORE �CTYJOF E ERETT PERMTAWISLVBEHSSUED. JWACM96-�16-HOW AL'EOTH�R <br /> i-i�UCATIONP.L FACILITIES AND ALL HE.4LTH CARE FACILITIES PLANS W ILL BE REVIEW ED B'( THIS OFFICE. <br /> i:;TE: WIRING IN NON-DWELLINGS IS REQUIRED TG BE �N RACEWAYS, MC OR AC CABLE. <br /> ! :,;NDICAPPED ACCESSIBIUTY: ELECTRICAL AND COMMUNICATfONS SYSTEM RECEPTACLES ON WFLLS <br /> .:'ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE t�1GUtJTED A �:11i�IP;iUl.1 � <br /> ; 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> :VIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.o3NOf+lb)4CE & FI ANDRNOOT L S�S THAN 36L!NCHES ABOV�EUTHE F OOR IN THE REACH <br /> i M- TO BE TFUE AND COFRECT. ALL <br /> �'I � HEFE3Y CERTIFY THA7 1 HAVE AEAD AND EXAMINED TNIS APPLC.iTIUN AND F:NObV THE SA E <br /> i P.ROVISIGNS OF LAWS AND ORDINANCES GOVERNING THIS 7Y'PE OF tl'CFK lVlLL 6E COM1iPLE7ED WHE�HER SPECIFIED HEREIN On <br /> iJOT. THE GRANTING OF A PERMIT OOES NOT PFESUh1E TO GIVE AUTHORITY TO VIOl..1TE OA CANCEL 7HE FFOVISIONS CF rNY 07HEF <br /> 57A7E OF7 LOCAL LAW AE6ULATING GONS7RUCTION OF iHE PEFPOFfdANCE OF CONSTn'UCTION. THAT I Ah1 AUTH.,nIZt:. BY THE <br /> CIYNEA OF THIS PROPERTY TO PEFFOFh? THE lh'OFK FOR LVHICH APPLICATION IS l.1AOc .AND i COh1PLY tt7Tn iHc STAiE <br /> CCNTRACTORS L:iW 78.27 FCW AND 296.200 LV.,C. <br /> — FEE f� � <br /> �� U�,�Qt�"� / � - o �-- v, � 5- �U <br /> Signawre Data <br /> DEBIT&CREDIT CARDS PRE NOT ACCEPTED ` �"` � ��J <br />