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ELECT^ICAL PERMIT AP� '_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /,l�//'? l�r-� � . J;� v�:.; �,�� ,� . ,�. � �-/�;j <br /> PROJECT ADDRESS `% <br /> , <br /> � �C ��� �� � 1- , � / � � � �<,�� <br /> , , <br /> ! �l�u'l�i��� - Yi`< <i( � C �!(L. l.� � � 'I r[ 1/" � c. �_� C�}-" <br /> i <br /> Owner Mai:Address Ciry State2ip Phone <br /> � � � I <br /> 1h/�/%�:,i � ��rr�ii ����/l /��// %%r��Fl��✓ ir�� �c < �r Z/ � � -� <br /> / " <br /> Tenant � . Mail Address ` City State/Zip Phone <br /> ,'�/ <br /> �� 1-� /�/�- � ���-r�: t ���i%�f/`r i/Ve � .��ir����i/� ��'%i /17��i�,��r���lc��%% %5',Z ,� `/l� 3�/9 ,:�"'/f <br /> Electlical Contractor Maii Address p;i <br /> ) Y State2ip Phone <br /> /�('� r L�-/�, � U7'��/��l�C�(,%j ,�,. <br /> � : <br /> _ ��r'��-� � <br /> State License Number � Contract Price of Work <br /> ,{ ; ) ' <br /> /��t�r(<, � 1'� r�"�I� F - �- - <br /> .�il�l� �lf ��r � '�C,� <br /> Proposed Use of Building Contact Person (Plzn fleview) <br /> Description o(Work to Be Done: _( � ,-- �' � ,� t,v- � �.; ��� �� - � � f, �� �/�� , <br /> t� ' ; r / I / �,. . `iF-� ; irc . /i � '=i/��v/ �"' �'�(/�7'i,i' ��l <br /> / <br /> --r . _ / � . � ,, <br /> I/) - % F1 ✓ // �r� 1[;"f- , /.'/- /; <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 PERMIT 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: WIRING IN NOfV-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES �N 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 AP!D OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIB�E 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 INCHES ABO'JE THE FLOOR. <br /> I HEFE9Y CERTIFY 7HAT I HAVc FEAD AND Eh'AhfINED THIS APPUCATION AND KNO'N THE SAME TO BE TRUE AND CORFECL ALL <br /> PFOV15lONS OF 47 WS AND OFDINANCES GOVERNING 7HIS TYPE OF WORK WILL HE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING CF A PEFhfIT OOES NOT PFESUh4E TO GIVE.7UTHJRITY TO VIOUTE OR CANCEL THE PROVISIONS OF 4NY OTHER <br /> StAit OF LCCAL L4GY Rc'GUG1TlNG CONSTFL'CTIOK OR THE PEFFORhiANCE OF CONSTFUCTION. THAT 1 AM AUTNOFIZcD BY THE <br /> OWNEA OF rrf15 PFOPERTY TO PEFFOFM rHE V✓ORK FOF bl'H/CN APFLICATION /S MADE AND I COMPLY W/TH i;1E STATc <br /> CONTRAC70FS LA4V 7Q.2i RCW AND 29G200 WAC. <br /> ' � � ;� � � <br /> �;i�,i � , /`,-�/ — �i����5/ FEE <br /> '"----=zr � � . <br /> Sic�nature Date <br /> ELECAP�FEV B12B01� <br /> �//�- � 9 <br />