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ELEC ICAL PERMIT AP LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �(c2�' l-ka,'f�- /�,i� ����lJS683a,3 oc�o� <br /> PROJECT ADDRESS <br /> �' f3���� h�"o � c�s lli .i�''� x�r 7�2 5'E, _.. __ Sc''�//1.�' �,w;�-Z <br /> Owner Mail Address City State2ip Phone <br /> ��,,�dl � J - <br /> Tenanl n!ail Address City Stata/Zip Phone <br /> ��(�/�/�i' �1'vu' C��F.��� 5��� /�a !1✓F S H�at9�i `/���io .204� N/�i-v>Z.8 <br /> Elecirical CoNraclor Mail Address Clty State2�p Phone <br /> � <br /> �Sj7.3�(rF �9s �7w 'e "�� <br /> Stale License Number oMract Price of Work <br /> S«��—��� �r'�� y / Contacl Person (Plan Review) <br /> Proposed se of Building <br /> � i � <br /> Description of Work to Be Done: !c^�/ iit [ i/1![[,� ��¢,��' GICG%i�f4 <br /> — C I��l,�_�' <br /> L'LML� / ���fi1.f� � ��/�/.y�J!/J / <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS h1UST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN :,�CESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 ;:VCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AN7 NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TpUE AND CORRECT. ALL <br /> PROVISlONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRE:JUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEfl <br /> OWNE�OF�Th�S PAOPERTY TO P R�ORMUTHE�WORKT FOFEWM�H APP�ICATlONNSSRMADE AND ACOMPLYUWITH ZTHE STATE <br /> CONTRACTORS LAW iB.27 ACW AND 296.200 WAC. � <br /> _ (��J/J(��'�/ �-�� —D�� FEE <br /> � <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �t`�{Q/ -Co'�� <br />