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� ` — - - <br /> i ELECTF�ICAL PERMIT APPLiCATION <br /> � � � � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-ft810 - FAX 425-257-8857 <br /> �j � �D—/� <br /> SIl7 v�Ec,� 02 C ,� s— l6 � <br /> PRO.IECT ADDRESS <br /> ALFA!-/ S�F�f/r S/�7 v�F.w ,0.2, �v.e'T (..>A ��2c� <br /> Owner \tail Atltl�ess Cl:y Sa;NuP Pncnn <br /> Te'1an; Ueil Ad�,oss ,rf! Cly Sta�.o2p Phcre <br /> t17/7 8 7 <br /> I��.�S7�..or, i�f.ar.n,1 �o�f N.� Nrs'i � w/� 9�7o s-�t�-yo�y <br /> E�zctrical ConYaetar M;�I Adtlress Ci,y S!ato2p Phcre <br /> n�o2/JS!lA97�Sf-y "� %�. o0 <br /> State Lirens?Number Conlracl Pnce o�LVor:< <br /> c;...0 a FAH J!X'.v.� !�-IX7.�oii <br /> Preposed Uso d Building CoNacl Person (Plan Rovie�v) <br /> Descriplion ol Work to Bo Donc: G,o{,t; r/G�L% �' Sl � �"�'e �rf'���`N� <br /> NOTE: PLANS �OR ELECTRICAL bVORK AT EOUCATIONAL, FACILITIES UTIUZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHWGTON. �1PPUCANTS WIl-H SUCH JOBS MUST SHOW THe STATE <br /> APPROVED PLANS EiEFOP,E CITY OF EVEF�TT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> ��UCATIONAL FACILITIES AND ALL HEALTH CARE FACIUTIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: VVIRING IN NON•DVJELLINGS IS REQUIR[D TO BE IN RACEWAYS. 1viC UR AC CAB�E. <br /> HANDICAPPED ACCESSIBI�I7Y: ELECTRICAL AND COf✓MUNICATIONS SYST=ti1 9ECEPTACLES ON L'/ALLS <br /> WITHI� ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTtD A ��11NRSUIS <br /> OFi51NCHESABOVETFiEFLOOR. WAC51•2�SEC. 3106(c)2. <br /> ENVIRONhSENTAL AND OTHER CONTROL RECEPTACLES �1ND OTHER OPERA6LE F(aUIPt✓ENT WITIII� <br /> ACCESSIBLE SPACES OR ALONG ACCESSIE3L� ROUTFS OF TFAVEL SHALL BE �10UNTED VJITHIN THc REACH <br /> RANGES OF bVAC 51-20 SEC. 3106�b)4 E 8 F AND NOT LESS THAN 36 INCHES A[30V[THE FLOOF. <br /> 1 HEREBY CcRT�FY �HAT ! NnVE �EAD AN✓' F.YAh1INED TH15 APFL�CAT;ON .4NL M7dCV.� THE SAh7E TO �E 7liJE .�^:D CORRECr aL� <br /> ?ROL'lSfONS OF LJ.S'✓S AND OFD/NANCES GOVERh'fh'G iH15 T1'PE OF tNORK WILL e� COh9PLETEO VVNEiHEA SPECIFIED h'E.9Cl,V CR <br /> NOT, T7iE GAANTING OF A�ERSiIT OCcS NO i PFESUbfE TO GIVE AUTHORI7Y 70 V10l�7TE OR CANCEL R1E PROV/S/DNS OF AMY OTHEi? <br /> STAiE OA LOCr7L 41V,�REGUI.A7lNG CCNSTAI,�CRON OF 77iE PERrCRhfANCE OF .,ONSTFUCTfCN. 7'HA7I PM FU7HORIZED 8Y �!'E <br /> CWNeF OF 7!'IS PFOPEATY 70 PfFFOFhi iHE 71'ORK FOA lNHlCH APPI.ICATI^N IS M1fADE AND ! COd1PLY LYITH 7HE STdTc <br /> CONTAACTORS L;1lN 1827 F;CbV AND Z9G.:00�.i.'AC. � <br /> j J� FEE ��. � <br /> ✓�� _� <br /> Slgnature L`ata <br /> OFBIT &CREDIT CARDS ARE NQT ACCEP'fED �( 3�� _ � �� <br /> � d _��� t l E�. ;�� 4cl'd <br />