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ELECI� tiSCAL PERMIT AP� ��CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 y� 3_D 6 <br />425-257-8810 - FAX 425-257-8857 E o6o y-�� <br />l % I (o ��..-�� �� � -� � <br />PROJECT ADDRESS/'� 1— <br />�i RSr �APTST �-lik�lc� �� LL' EREIT � 61(o pfi�l FI L, c V t�LE'Tr ��i" QQJ 20� <br />OwnCr <br />M.l_:. <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />Gry <br />State2ip <br />State2ip <br />Phone <br />Phone <br />�I�� D��Rs C-L�c„z�� �o aeX i rs2 �v �-�ze--rr �, �- �iP, 20 (� .�2s , 252. 2�0� <br />Electrical Contractor Mail Address City State2ip Phone <br />Ro�7 C ec C_232 PA <br />Statc License Number <br />GI-Eu Rc t-k <br />Proposed Use ol Building <br />Descnption of �Vork lo Be Done: <br />�4,43�d `° <br />Cantract Pri ot Work <br />Lo a,,� � <br />Contact Person (Plan Revie�•+) <br />�omP �-E�"l:. �O R- <br />-�c-R� m�T�2 �o w c R-- �- �-1 6� 1�4T I�J Cv � <br />��rnmu.� �-r� S�,zv ic,� ���4 , t�K� _� <br />�JOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS P�tUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERFTT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH (;ARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL i.ND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />l'JITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A P+1INIWU4:1 <br />Gi- 75 INCHES ABOVE THE FLOOR. WAC �i-20 SEC. 3106(c)2. <br />ENVIRONh1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPP�IENT WITHIN <br />���CESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)J E& F AND NOT LESS THAN 36 INCHES A60VE THE FLOOR. <br />i NEFc3Y CERTIFY TH.:T 1 HAVE FEAD AND EJiAAfINe"D THIS APFLICA i ION ANO KA'OlY 7HE SAhfE 70 6: TnUE AND CCFFc"C� ALL <br />PFOV151CNS OF L4{VS AND OFDLVANCES GOVE.9NING TNIS TYPE CF WOFK l'�4LL EE CO!dFLETtD IYHETHEA SPc'C1FIE0 HEnE1N OF <br />NOi. 7HE GFA,VT�M1'G Cr A FEF�dlT OCES NOT rFE5Ul1E TO GiVE AUTHOFI7Y TO VIOUiTE CF CANCc1 THE PFOVIS�ONS GF ANY C i HE.9 <br />STATE OR LOCAL L4:V FEGUL7TING CC��'S7nUCilON OF THE PEFFOFAfANCE OF CONSTn'UCTION. THAT 1 AM1I AUTHCFIZ'D 5Y 7NE <br />OL'JNEn CF THjE'�FOFEFTY TO PEnFOFAI TNE WOFK FOR WH7CH APPLICA710N IS WADE AND I CObiPLY WI7H THE SiAiE <br />CCN i F.iC i OFS (A 1Y�.27 FCW AhD 24c<"CC tVAC. <br />FEE �7/ L� �S <br />1 (D <br />S,y , ►\• Date <br />Y <br />DEBIT & CFEDIT CARDS ARE NOT ACCEPTED �-� <br />P ; <br />