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ELECt"RICAL PERMIT AI�?LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE'i , EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />: J�� -� n/A S,S'R �/ I�L CO b1�0 '-O �c`l <br />PROJECT ADDRESS <br />�, v e� n� r✓Iv Cv.v s r — <br />��ef Mail Address � <br />City StetelLip Phone <br />Tanant � Mail Address <br />City SlatefLip Phone <br />ii,� -,.i� �.: <br />ns <br />Contractor Mail Address <br />�/�/L�SD�G4J i/// <br />State License Number <br />S i✓Gt r FA�,ic.� /Tr'siOr.✓� � <br />Proposed Use of Building <br />Ciry <br />Slate(Zip <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Pho�e <br />/Ov� — t�l'�C'� ct (� P C��l�lQ.__ <br />Description of W ork to Be Done: /,(J i�- /i% ta.l ! <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED PLANS BEFORE �C TY' OF EVER�ETT PERM TAWILL BIEHSSUED. J WACM 96 46-H OW AlL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO Be IN RACEW�YS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYGTEM RECEPTACLES ON WALLS <br />OFT 5I WCHESSABOVE THE FLOOR. WAC 51A-20 SEC 3106(02TES CF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ACCES�SNBLE SPACES OR ALONG A�CESSIBLE ROUTES OF TRA E�SHALR BEPMOUNTED W TIH NETHE RIEACH <br />RANGES OF W AC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HERE6V GE,RTIFY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATION ANG KNOW TIiE SAME TO BE TRUE AND CORFECT. ALL <br />NOT,V7H'E GR �NTING OF A PEAMiT GOES NO �PRESUM1 E TO' GI EP UTH R�TY TO'VIOLA E ORPCA CE �THE PROVISIONS OF ANY OTHER <br />pWNER OF�TH�IS PROPERTY TO PERFORMUTHTE WORK�FOFEWH�CH APPLI�ATIONSSpMADE ANO ACOMPLYUWITh�'ZTHE STATE <br />GOM1'TRACTORS LA �'V 79.27 RCW AND 296.200 WAC. <br />r <br />Signature <br />ELECAP�REV 9200�) <br />FEE ��o� <br />ZO•-D3 <br />Da�e <br />r o3a�--os� <br />