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ELECT{';ICAL PERMIT AP�' LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> °200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3oG / h 2 o�,e,�' ��U� <br /> PROJECT ADDRESS <br /> '. ��-L/�n , � , <br /> 1 i �,_ ��1'�I ,c: So� ?n n.��,:n %'" - �; <br /> _�;��r�� � . % <br /> Lti.,_ < <c� <br /> 0',vner Mail Address �i� <br /> Y State2ip Phone <br /> Tenant Mail Address Cit <br /> Y State2ip Phone <br /> l��-hr'�:�;.�« ;�hc. �'�,.;:�.�� zi�� �-y,�.:v �� y�:,., . <br /> Electncal Coniraclor Mail Atldress t � �"+Z S�-7y� -7C S"�/ <br /> City of State2ip Phone <br /> 6)" f<<� � 9����t; �f /� �'= <br /> State License Number —�� �l�' � <br /> Contract Price of Work <br /> �>H ,LTL f/)-+^�G�:,r �/1��Y iC/lFr <br /> Proposed Use ol Building <br /> Contact Person (Plan Review) <br /> D2scription of Work to Be Done: _JCUp /"1,•�j+ 5 u� _ �j�,1i�-� -� <br /> Z l�-i,fL t_ � �C�-�iJl�c <br /> ���;- G�./,�rr2 Tr�ti � <br /> �7S �/�r'Y ��-.�U UOl�� S�J1�0'LI� �/`Y�S� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE C?F WASHINGTON. APPLICANTS WITH SUCH ,.'OBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONi,L FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> N07E: WIRING IN NON-DWELLINGS IS REQUIRED TO BE Ifv RACLWAYS, MC OH AC CABLE. <br /> HANDICAPP[D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCE�SIBLE ROUi'ES 'JF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LE;,S THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CER7/FY TNAT I HAVE READ ANO EX�IvfINED 'fHIS APPLICqTION ANO KA�OW THE SAfdE TO 6E TRUE AND CORRECL ACL <br /> PROVISIONS OF LAWS AND ORDI.NANCES GOVERNING THIS 7VPE OF WORK WILL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br /> NOT, THF_ GqANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTNOF/TY TO VIOLSTE OR CANCEL THE PROVISIONS OF ANY OTHE.4 <br /> STATf OR LOCAL LAW REGUL4TMG CONS7RUCTIOfJ OR 7'HE PERFORM1fANCE OF CONSTRCCTION. THAT I AM AUTHORIZED BY THE <br /> JINNEF OF THIS PpOPEq7Y 70 PERFORM 7HE WORK FOR WHIGi APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTAACTORS LAW 78.27 FCW AND 296.200 WAC. <br /> �� <br /> /�— — // C. � �.' `7-c y FEE <br /> Signature � Date <br /> DEBIT& CREDIT CAR�S ARE NOT ACCEPTED /,� Q�{.pZ�O(3 <br />