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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREEf, EVERETT, WA 98201 <br /> 425-257-8B10 - FAX 425-257-8857 <br /> �,1 � �� �� e� /-(-�- I, <br /> PROJECT ADDRESS I <br /> �� 6 r�,�� �ti , �s ��o- s�3 <br /> Ov.ner Nad Atltlres, Ci;y StatulLip Phona <br /> �� � �I <br /> � 5��- D �GraCo,� G�v ,�u��,�.� w�• �gz�s� , <br /> Tenr+m A1all�ddmss Cily Stato2ip Phono j <br /> ��l�l-(U��c�9"�N yoo z sm.�� �c•-� ��� I <br /> Electr2al CoNractor ldai;AdUre,s CHy StatalZip Pho�a <br /> .S-P��Av�'S� �'(�C'('h(c. <br /> Slate licer.sr.Number Contraet Priee of Work <br /> �is <br /> Prcposetl Use ol Buiiding Contacl PersOn (Plan Peviaw) <br /> 7�^ < /�/ <br /> Uescnp:ion of Wark lu 6c Dc:�i���. ��� l �Piu� r eC�� f Q,f..a���rn II/ � <br /> �"i��'Q/'r � ��1"�.� ��� . , <br /> NOlE: PLANS FOR ELECTRICAL WORK AT EDl1CATIONAL, FACILITIES UTILIZING STP.TE FUNDS IdUST BE <br /> AFPHOVGD �Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERAIIT WILL B[ ISSUED. WAC 296-46-190. ALL OTHER I <br /> EDUCATIOIJAL FACILITIES AND ALL HEALTH CARE FACIUTIES PLANS WILL BE REVIE6VEC BY THIS OFFICE. <br /> NOTE: 4"JIRING IN NON-D14'ELLINGS IS REOUIRED TO BE IN RACEVJAYS. MC OR AC CABLc. <br /> HA�VOICAPPED ACCESSiBILITY: ELECTRICAL AND COMMUNICATIONS SV5TEA1 RECEPTACLES ON WALLS <br /> WITHIN ACC[SSiBLE SPACES Ofi ALONG ACCES516LE FOUT[S Or TRAVEL SHALL BE 'vtOUNTED A MINIIJUM <br /> OF 'S ;NCHES ABOVE THE FLOOR. WAC 51•2D SEC.3106(cJ2. <br /> �NViFONtitENTAL AND OTH[R CONTROL RECEPTACLES AND OTHEP OPERABLE EOUIPMENT WITHIN <br /> ACC[SSIBLE SPACES OR ALONG ACC[SSI6LE RCUT�S OF TRAVEL SHALL 6E MOUNTED VJITHIN THE REACH <br /> r^,ANGGS OF WAC 51-20 SEC. 3106(bJ4 E S F ANO NOT LESS THAN 3u INCHES A80VE THE FLOOF. <br /> I Nc'rEd�' CEir7iFY iNa7 I tf.4':E FEAO AND fX�1dL\'ED iNIS APPLlCA7lON.4ND KNON' TME SAME 70 HE TAVe AND COFFEGT FLL <br /> FROV�S'ONS CF latv5 A�tiD ^FO�.VANCES GOVEFkb\U^ Th'!S �Y'PE OF 11'OnK PJLt Br COMPLETED 15'HETHE.9 SP[CIFfEO NLREIN GR <br /> NOT 'HE GcqN71�VG O.F A�c SG':T CCES NOT PFcSJMc iC GIVE AUTNCFiN 70 VlOLATE OR CANCEL 7HE F FOV190N5 OF ANY OTHER <br /> STF IF GH COCAL LFI:'REG:'L��r;;G COh'STftU::TlON OR THE FEFFOF�IIAKCE OF CON57RUC7lON. 7HAT I Ald A'J7NCR1ZE0 OY TNE <br /> Clk�\'64 ^F '.-NS FFGPEn','�' Tu FEFFGF,S' THE WOFiK FOF VlH1CH APPUCATION !S M11ACE �1N0 ! fOMPLY WI7N �ME 5'ATE <br /> CCf:T�;AC7JA5 LAt4 7H.7?FC'�1'..f.'D.59..'JD 1Y.+C. <br /> �� � �%.i�/�C�v�l LG/��' d��l�O/�.0 FEE ��. d V <br /> < <br /> S�;ratare Dste <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �( ��� ,/�/� <br /> C./ <br />