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ELEC IC�4L PERMIT AF� �.lCATION -�1 <br /> CITY OF EVERETT PERMII' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 <br /> ..J � � C'��; C'�..� /l iQ�t 4/I� l 1/ CJ <br /> PROJECT ADDRESS <br /> �� �l �T �c, , L d� r 1 <br /> Owner ldail Address City StatelZip Phone <br /> Tenant Mail Address City State2ip Fhone <br /> i�aMc /��,� �L��T-� LLC I'-IU l7ox� 1J �oTi�� CC G,1u • �'l8��/ .ZO`- .Sso-zyo/ <br /> ElecltiCal Contractor Mail Adaress Ciry S�ate2ip ?hone <br /> 0 r < � ,�r '"/ � H ^ � <br /> Slate License Number Contract Price of Worrc <br /> 11 �S< ¢���v %iaL <br /> Proposed Use ol Building Contact Person (PI=� Review) <br /> Description of Work to 6e Done: W i rt /o Q�'Q Sg; f �� �E M�' � Z G y ���/� .S�r U. C� <br /> i �J � ��i a Ne � na �A � �7` U � .5�� -,� �Q n.'o%rrjr�vurtl v� sr-/'v� t (' <br /> � <br /> � � <br /> IJOTE: PLANS FOR ELECTRICA� WORK AT EDUCATIONAL, FACILITIES UTILIZING STA'E FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STPTE <br /> �PPROVED PLANS BEFORE CITY OF EVERETT PEHMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND P.LL HEALTH CARE FACILIT!ES PLAiJS W ILL BE REV!cW[0 BY THIS QFFICF. <br /> NOTE: W IRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES OIJ WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG AGCESSIBLE RGUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A[30VE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEF'TACLES AND OTHER OPEPABLE EGWIPMENT VJITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTFS OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABC)VE THE FLOOR. <br /> � <br /> I MEAEBY CER7lFY THAT I NAVE READ ANO EXAMWED THIS APPLICAT�ON ANO KNOL"✓ THE SAME TO BE TFUE AND CORRECT. AU. <br /> FROVISIONS OF LAWS ANC OFDIh4NCES GOVEF'IING TNIS rT'PE OF V✓ORK WILL �E COh1PLETED WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFAN7ING OF A P.�r'!;T OOES NO'f PRE>'1ME TO GIVE AUTHORITY TO VIDLArE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUC��IUN OF THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TNE <br /> Gl1'NER OF THIF PROPERTY TO PERFORM T IE WOFK FOR 'NHICH APPUCAT17N IS MADE AfJD I COMPLY WiTH THE STATE <br /> CONTFACTORS LAIN 78.27 RCW ANO 296.200 WAG. <br /> (� � � <br /> ,` G "=� � z--ct�—f�� � —� — � � FEE <br /> .- Signature �atc I <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> �"� D S ';� -�u0 <br />