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EL <br />:TRICAL <br />PERMIT k+PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR 'ET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />so�"7 �Ce �nJ �r/� <br />PROJEC.T ADDRESS <br />U c -e�o�✓ /�U� <br />�e� vP�l S� � <br />Owner <br />�1 <br />Tenent <br />Electrical Conlraclor <br />State License Number <br />Proposed Use of Building <br />Description ot Work to Be Done: <br />Mail Address <br />Mell Address <br />"Aail Address <br />City <br />City <br />Ciry <br />C (/c'�P� U� <br />Stete2lp <br />r J <br />Stele/Zip <br />Stete2lp <br />S�ed�c� <br />�Xla� Y.�.� <br />CoMract Price o' Work <br />Conlect Person (Plan Review) <br />�a <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITlES UTILIZING STATE FUNUS MUST BE <br />APPROVED PLANSEBEFORE C TYlOF E ER�ETT PERM TAWILL BEHSSUED. J WAC� 96 46•H OW ALE OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE RCVIEWED 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 COMMUNICA710NS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOV[ THE FLOOR. WAC 51 •20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC.�3N b(b)4CE & FI AND N TTLE S THAN 36LINCHES ABOVEUTHE �LOOR IN THE REACH <br />HEREBY CERTIFY THAT I <br />70PERTY TO I <br />18.27 RCW AND <br />WAC. <br />JED 7HI5 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECL ALL <br />VG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEHEIN OR <br />ME TO GI VE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTMEH <br />N OR THE PERFOFMANCE OF CONSTRUCT70N. THAT 1 AM AUTNORIZED BY THE <br />WOpK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />SignaWre � Date <br />DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br />3.�J FEE <br />Ed3v5�11 <br />