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ELECT riICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �C� � � �Y� �T�-! IyV� <br /> PROJECT ADDRESS ,^ ;j ,( Q 1 p�,c�/ d'J� rq ,/ <br /> I}� `ST17P�1 Ja1UE5T1�lENZS I U 17D�. S`15 / �J�RE'R—. v� A' �CJCvl7 /�--+�Z� l,Q'!SS <br /> Owner Mail Address Ciry State2ip Phone <br /> C� <br /> '�C <br /> TenaN tdail Atltlre=_s Crty State/Zip Phone <br /> ��ens ���art� P o. Bex��s2 l=��R� WA- 9820(� 42s;2s2. 2�o7 <br /> Eleclrical Contractor �dail Adtlress Ciry State2ip Phone <br /> ���E�c23z�� �'7, 4 90 <br /> Stale License Number Contraci Price of Work <br /> Mh�uFAczuZirJG I �RQcI'�flU� Loz�� IA/ALi-iTN��Z �^1/AJ <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> Description af Work to Be Done: �Zpu�DF g�r^�ST4��L I< IZOO A-� 2�� v SE�UIGt � � �� FtiGr1_2�� <br /> ��2� � ceS , �Rov��E Po�FR. �- L� C��+T��G PeR �or�TR.AGT• <br /> NOTE: PLANS 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 PERti11T WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•DW ELLINGS IS RECUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIh-1UM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 S[C. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIP6IENT VJITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES 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 INCHE" ABOVE THE FLOOR. <br /> I tiEFe"91' CERT�FY THAT I HAVE FEAD Ah'D EXAAIINED TNIS APPLICATION ANO KNOIM1� THE SAPdE TO BE TRUE AND COFFECr FLL <br /> �=FC19S10N5 OF LAWS AND ORDINANCES GCVEFNING THIS iYPE OF WOFK WILL 9E CCI.SPLE7ED Lh�HET,4ER SFECIFIED HEFEIN OF <br /> �YGT. i HE GFANTING OF A PERRIIT OCFS NOT FFESUME TC GIVE AUTHORI tY TO VIOU7TE OR CANCEL THf PROVISIONS GF ANV GTHER <br /> 57ATE OR LOCAL LAW FEGULATING CONSTFUC-ICN OF THE PERFOFMANCE OF L'GNS'FL'CTIDN. THAT I AA4 AUTNOFIZED BY THE <br /> CIVNER OF THIS PROPE.47Y i0 FEFFCRM TH�_ ll'OFK FOA WHICN APPLICA710.N IS iv1ADE AND I COfdPLY 11'/TH iHE STATE <br /> CONTRACTORS L7 LV �,t7 F7CW AMD_96.L00 l'✓AC. <br /> \ <br /> �, � } � FEE� <br /> fSgnatu . •l <br /> �ate ��� • � � <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED - - � ' S' 7 <br /> �_ �L '� �i ` � <br />