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� <br />�" <br />ELECr'RICAL PERMIT A�?LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />3[ :3i ��M�2� <br />PROJECT ADDRESS <br />-T�'oN� 1`�(�AQ ;� N� P o Ci-�t 535'L E.��rT S'3z� ��i-lS`'r3 <br />Owner <br />Tenant <br />Mail ACdress <br />Mail Atltlress <br />Meil ACdress <br />�- wS � 1 !� �('�v <br />Stale �icense Number <br />rnv-r-� - �-�h� � `-r <br />Proposed Use of Buiiding <br />Ciry <br />�_ � <br />C�ry <br />�, � �i��'Ti' <br />Ciry <br />SWte2ip Phone <br />—_ <br />StatelZip Phone <br />��.3%� l� 3 rSTZ�3 � � <br />State2ip Phone <br />Contract Prico of Wcrk <br />Contact Person (Pian Review) <br />Descnption of Work to Be Done: �._72 ���.T1 C.iN S f� 2 Cl T�' �\� <br />�.;�.('��tt c�sc �-ttz � c_P. L. � n; s� �, �c��v k�-f'v2-r <br />NOTE: PIANS FOR ELECTRICAL 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 />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•a6-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEV'JED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED AGCESSIBILIl'Y: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE 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 E�UIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC. SN 6(b)4 E 8 FI AND OT L S3 THAN 36LINCHES A80 EU HE �LOOR.�N THE REACH <br />1 HEFEBY CERTIFY THAi 1 NAVE flEAD AND EXAMINED i HIS APPLICATION AND KNOW THE SAME TO BE TFUE AND COFRECL ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS TVPE OF WORK WIL! BE COMPLETED WHETHER SFEClFIED NEREfN OF <br />NOT, THE GFANTING OF A PEFMI i DOES NOT PRESUME i0 GIVE AI�THORITY r0 VIOL4 i E OR CANCEL THE PROVISIONS OF ANY OT7iER <br />STATE OF LOCAL L4W REGULi1TING CONSTFUCTION OF THE PEFFCRMANCE OF CONSTFUCTION. iHAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOF WHICH APPLICATION IS MADE AND I COMPLY WIiN THE STATE <br />CONTRACTOAS LAW 18.D FCW AND 296200 WAC. <br />Signature ua�e <br />ELECAP�REV8200�) E 03�3 -06&- <br />FEE <br />