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ELECT� �ICAL PERMIT AP4 �ICATIOP� <br /> CITY OF EVERETT PERIIAIT SERVICE� <br /> 3200 CEDAR STREET, EVER�TT, WA 98201 <br /> 425-257-88i0 - FAX425-257-8857 <br /> ����?� TYE� �0�� <br /> PROJECT ADDRESS <br /> E��r ����T�,���� ��G � ti - �e-���r,_of� <br /> Owner Mail Address City Stute2ip Phone <br /> Te n Ma'i Adtlress City Ste!:.��p . Phone <br /> ��C !/�o�T�f' ,�/,�, > ��,��,i//lD ���������9�0�yzs=3�r-97,� <br /> Ele ical Contractor Meil Address City atelZip Phune <br /> ���lra �i�U�%�Z �D-�� <br /> Stale License Nu ber Coniract Price of Work <br /> Proposed Use ol Building Jontact Person (Plan Reviow) <br /> Description ot Work to Be Done: (/�/� !�/C� l/� ���'� ������ <br /> ��5�DEln�/r9/ <br /> NOTE: PLANS FOR �',.ECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONA FACILBITIC-�5 AND ALL H�EALTH CARE FACILITI S�PLANS WSLL BE R V EWED BYTHIS OF I OTHER <br /> NOTE: W IRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLG ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGE9 OF WAC SE 20 SEC.SN 6(b)4CE & FI AND NOTTL S9 THAN 36LINCHES ABOV�EUTHE �LOOR.IN THE REACH <br /> I HEAEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APP�ICATION AND lCNOW' THE SAME 70 BE TRUE AND CORAECT. ALL <br /> PFOVISIONS OF LAWS AND ORDINAWCES GOVERNING THIS TYPf OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A �EFMl7 DOE�NO7 PFESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTICN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PFOPEFTY TO PEFFORM THE WORK FOR LNHICH APPLICATION IS MADE AND I COMPLV W17H THC- STATE <br /> CONTRACTOqS LAW 7H.27 RCW AND 296.2G0 tN C. <br /> �� ` <br /> � ������ � / O � FEE <br /> —� /Siqnature Oato <br /> / .�d��3'r/�� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />