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ELE�'RICAL PERMIT A� ?LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �525 Pati����:� �f��+ G�e� � <br /> PROJECT ADDR SS {� <br /> ��t.J �o��iti1S �1�. 7.525 �c7,u�U�C� ��iJ� C iX'�l1 � f� �5Z03 <br /> Owner � <br /> Mail Ad�ress City Slnte2i p� <br /> P 4�-� 3S �/- /��O!'J <br /> Tenant Mail Adtlress <br /> CiN StatelLiP Phon� <br /> m� ���e' <br /> Electri I Conlractor fda�l Address �;� <br /> Y State/Zip Phone <br /> State License Number Contract Price ol Work <br /> Proposed Use ol Building Conlact Person �Plan Review) <br /> Descnption of Work to Be Done: ^ � L P�J � / �J � <br /> __ cL <br /> r Z'� C V � �nn � �' I <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS 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 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�U�FiED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIP� ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ACCES�S B E SPACES OR ALONG AC�CES�IDLE OEUTES OF TFA EL 3T ALL EPMOUN'fED W TIHI�N THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)a E R F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> i hlE.4E9Y CEATIFY TH.1T 1 hGiVE AeAO APlD EXAM1IINED THIS APPClCAT10N AND KNOW 7HE SA,LIE TO BE TRUE AND COFRECL AL: <br /> PFOVIS10N5 OF Lr1�Y5 ANO OFCINANCE$ GOVEFNWG TFfIS TYPE OF WCAK LYILC Bt CObIPLETED WHEi HER SPEClFlfD MEAEIN OR <br /> NOr, tNe GFANfING OF A PERM1IIT OOES.Y07 PRESU�tIE i O GIVE AUTHCFI i Y TO ViCLiTE OR CANCEL 7HE PFOVISIONS CF ANY OTHEF <br /> S7Aic OR LCCAL Li4Y FEuUUTIh'G CONS7n'L'CiICN CF 7HE PEn^FOFMANCE CF CCN57FUCilON. THAT I Ahl AUTHOFIZED 8Y 7kE <br /> OGYNEA OF iHfS PROPERTY i0 F�RFOFM1I THE WCFX FOF 1YHICH APFLICAiICN IS b1ACE AND 1 COM1IPLY WITH THE STATe <br /> CONTRACTOFS L7W 8.27 RCW AND 296.000:YAC. <br /> 0 V�,,,._� I- _ O� FEE � <br /> signatura � 5� <br /> Dare <br /> E!cCAP!REl'dZWI� <br /> � 0�. � � - 03� <br />