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ELECTRICAL PERMIT APPLICATION <br />CITY CF EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 <br />yo 7��"s'�. S� C-v� �.(� p��s- <br />PROJECT ADDRESS <br />C; {-�o o� C'v�, a� nv�w�- (;Iu G�� IId�F nl.� ,�93n !� <br />Tananl <br />IJ�a�I natlress <br />61ai1 Hddress <br />tiectncai Contr�ctor �.4ai qddress <br />�i���Z�i��� � ej- ��; <br />Slate License IJumber � <br />V�itl�li �/lf.t��11C�1.� �M'\YGL— <br />Proposed Use ol BuilCina <br />��/� // / � <br />Descnption of Work lo E3e Done: �ii,SY�t L�/ "� <br />GIy <br />Cily <br />City <br />S�alclZip Phone <br />S1a�MZip P�o�C <br />3 <br />StaIMZ�p Phone <br />�O� Se c� <br />Coniract Price ol Work <br />/�leS!/� `f��}UJ[.�� �+-�lk��i� Ak �c�� <br />Conlael Person (Plan Review) <br />NOTE: PLAhS FOR ELECTRICA� WORK AT EDUCATIONAL. FACIUTIES UTILIZING STATE FUNDS MUST BE <br />APPROV[D BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS IvtUST SHOIN THE STATE <br />APPROVED PLANS E3[FORE CITY OF EVGRETT PERMIT WILL E3G ISSUED. WAC 296-46-140. ALL OTHER <br />E�UCATIONAL FACILITIES AND ALL HEALTH CARE FAGLITIES PLANS WILL BE REVIE6'JED BY THIS OFFICE. <br />NOTE: WIRING IIJ NON-DWELLINGS IS REOUIRED TO BE IN RACE'.NAYS, MC OR AC CABLG. <br />NANDICAPPED ACC[SSIBILITY: EL[CTRICAL AND COM64UNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSBLE ROUTES OF TRAVEL SHALL BE A40UNTED A ��11NIMUA9 <br />OF �5 INCHES ABOVE �HE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTIi[R CONTROL RECEPTACLES AND OTFI[R OPERA6LE EOUIP67ENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACC[SSIBLE ROUTES OF iRAVEL SHALL BE l�40UNTED WITHIN THE REACH <br />RNNGGS Of= WAC 51-20 SEC. 3106(b)4 E& F AND NOT LE55 THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFE9V CERTIFY THA7 I IiAVc HEAD AIJD EKAM11llJED THIS FPFLICATIOM1' AIJU KNON' THE SA/dE 70 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAl4'S FND OROIh'ANCES GOVEFNIM1'G TNIS TVPE OF 11'ORK V.9LL BE COh1PLETED WHETHER SPECIFIED HEREIN OR NOT. <br />i vE GRAW7ING OF A PERR9IT DOES 7J0 i PRESUMt' 70 GIVE AUTnOR17V i O bI0LA7E OR CANCEL THE PFOVISIONS OF AIJY OTHER S iATF <br />Q� LOCAL LAR' REGULATING CJ72STFUCi ION OR THE PERFORIdANCE ';F C0,1'S7FUC76 V. iH-07 ' Ald AUTHOR2ED BY 7HF OR'NtR CF <br />i:;5 FROPERTY TO PERFORM19 i HE N'OFK FOR !YHICH APPLICATION ;S f.!.:DL AND 1 C01.��=LY R9TH 7HE S7ATE CONTRACTORS LAW 7817 <br />�C�Y aND 296200 WAC <br />FEE � C�L�. <br />�� . <br />REP e ��Oit 1 <br />`/ ��_ � �_� <br />