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ELEC��ICAL PERMIT AP�:- LICATION <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �.,20 %�;F�� �4vE <br /> P��R/OJECT ADDRESS <br /> V�D�d .�NYCSHF�l�G� g/O�ni�/IDA✓G �t/t�OEi% l�f� �3�D/ h�.Zf•C1,�1 -��5� <br /> Owner Mail Address , Ciry Stete/Zip P�^e <br /> �'✓�e�,�'EJ�.�F�� — <br /> Tenant � Mail Address Ciry Stete2fp P�� <br /> � �rEO C..F�7,e�G �a�r S 30/ so �,2�i�E �dr/.�/� G�.9 �8�0.� �f1S/z.s�•�// <br /> Electrical Contractor Mail Address �'N S �e2�P Phona <br /> �.�;,-ccii���G _ �3a'C/��✓ <br /> State License Number Contract Price of Work <br /> �F�-,.,.F.9�5 S./o�' <br /> Proposed Use ot 8uilding Contact Person (Plan Aeview) <br /> Description of W ork to Be Done: /(/ -F!� 11�/`��� ����� �FfEJ <br /> �i�iST/�.(%, S��d/�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. FACILITIES UTILIZING STATE FUNDS MI�ST BE <br /> APPROVED PLANSEBEFORE �CTYrOF E ER�ETT PERMTAWIS BIEHSSUED. J WACM296-46-1140. ALL OTFIER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 15 NCHES ASBOVE THECFLOOR.AWA StA-20 SEC. 3106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 S C�N 6(b)4CE 8 FI AND OT LE S THAN 36 I CHES ABO EUTHE FLOOR IN THE REACH <br /> 1 HEAEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAMr TO BE iAUE AND C.�RFECT. ALL <br /> PROVISIONS OF UiWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIEU HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAtE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOflIIEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS L4W 18.27 RCW AND 296.200 WAC. <br /> - `7s-O <br /> FEE <br /> Signature Dete <br /> ELECAP�REV 8/20�1) ��3D�]—CJ(pC� <br />