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ELE�, fRICAL PERMIT A'rPLICATION <br /> CITY OF EVERETT PERMIT SEHVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42:i-257-8810 - FAX 425-257-8857 <br /> 5��3 �3=` A�� w <br /> PROJECT ADDRESS <br /> �i�c�d�e l /�7 �f„ellr� t3rc�er '�`021-3 o23r` �t �. ��rcrctt wf� "�`'03 �.�?S7�a/F�7q? <br /> Owner Mail Address City State/Zip Phone <br /> �ar�c t_•� 0.Lb.;C <br /> Tenant Mail Address City State2ip Phone <br /> �1���L �Lec#f�L _.l.c.. i' o �c+x o?rt �- Ltinn�.=nad ��:A `%603(� �.�s7�r�-��5� <br /> EleCtrical CoNractOr Mail Address City State2ip Phone <br /> �K�`c�KE9�okk ���oo=� <br /> State License Number Contract Price of Work <br /> `7�n�Lc f�...,'I 2cs��crx� �QNnv N�rF <br /> Proposed Use of Buildin Contact Parson (Plan Review) <br /> > <br /> ._ � ) �r�e_ ��-fc�b �Sa`,-,� <br /> Description of Work to Be Done: �—�a�ctil� /�-A,�.� J�b �nr�n� �. � <br /> NOTE: PLANS FOR ELECTFICAL WORK A7 EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THF STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE 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 ACCFSSIBILITY: ELECTRICAL AND COI�IMUNICATIONS 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 CO�TROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROt;TES OF TRAVEL SHALL BE MOUNTEU WITHIN THE REACH <br /> RANGES OF WAC 51-2U SEC. 3106(b)4 E & F AND NOT LES:.' 7HAN 36 INCHES ABOVE T.HE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME '(O BE TFUE AND CORRECL ALL <br /> PROVISIONS OF�WS AND OFDINANCES GOVERNING THIS TYPE OF WOFK WILL BE CUMPLETED WHETHER SPECIFIFD HEREIN OR <br /> N�T THF. r:'RA.NRY;�OA,t P�!?helr DOES NOT PRESUME TO GIVE AUTHORITY i0 VIOLiTE JR CANCEL THE PFOVISIONS OFANY OTHER <br /> SYA.`c OR LOCA: LiW REGULAT'NG CONSTAUCTION OR THE PERFORMANCE OF CON37'RUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF �iil5 PROPEHTY TC% PEHFOFM THF WORK FOR tNH1CN APPLICATIpN !S A1ADF �4RD � CO�AoLY 4l'I�M TM_< .�T,q7� <br /> CO�VTRACTORS LAW 18.27 NGW AA�296.200 WAC. � <br /> �I' �Z —o � FEE <br /> G/ <br /> Signature Date . <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �(`j �l I � �S � <br /> 1 <br />