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ELECTF.�CAL PERMIT aPF �ICATIQN <br />CiTY OF E��ERETT P�RMIT SERVICES <br />3200 CEOAH STREE?, EVERETT, VJA 98201 <br />425-25?-8810 - FAX 425-257-8857 <br />%.J � "' G'y/� ,�'� 5� <br />_„� <br />PROJECT ADDRESS <br />, � <br />�� . i/t�L..},C Lv'ieT� CG:�` %y�-G�,Y �/Z7-_7/5'-��.31_� <br />-,,��,�- 6/7-�-- �=�i3 ,�r <br />(��� t.1ailP.tldre-=s Cily State2ip Phene <br />Tenant <br />Contractor <br />� <br />h1ail Atltlress <br />3E U; � vr, -��/ <br />Mail Address <br />EY! �r'ti ` S � yz �./' <br />Siate License Number <br />S,�f /c r s <br />Proposed Use of Building <br />City S�atz�Zip <br />� �.,,,_:,z/- �� � i�� i <br />Phone <br />�zs--��y-� ��i <br />City State2p Phone <br />���j� �- <br />Contract Price of W ork <br />/ ` n <br />Description ot Work to Be Done: �J'��% / ��"""/� � <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI7_ING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATE OF WASHINGTON. APPLICA�lTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVEFETT PERD.11T bVILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br />ECUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-CWELLINGS IS REQUIRED �O BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRlCAL AND COMMUNICATIONS SYSTEM HECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAL� BE MOUNTE�] A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOr�. WAC 51•20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CON?ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBI_E ROUTES OF TRAVEL SHALL BE N10UNTED WITHih THE REACH <br />RANG�S OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLGOR. <br />i HEREBY CEFTIFY THAT 1 HAVE READ AND EXAMINED THlS APPLICATION AND KNOW THE SA/dE TO BE TAUE AND COFRECT. ALL <br />PFOVISIONS OF LAWS AND OFDINANCES GOVERNING 'HIS TYPE OF WORK WILL BE COMPLeTED WHETHER SPEClFIED NEFEIN OR <br />hIOT, THE GRANTING OF A PFRh11T DOES NOT PFESUME TO G!VE .4UTHOFITY TO VIOLATE OR CANCEL THE PFOVISfONS OF ANY OTHE,4 <br />STATE OR LOCAL LAW REGUL4TING CONSTRUC710N CF 7He PEnFCFh"ANCE OF CGN57FUCTION. THAT 1 AM11 AU7hORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOFiM THE WORI< FOF :VNICN APPLICA710N IS h7ADE AND I COMFLY WITH 7HE 5T4TE <br />CONTRACTORS LAW 1827 ACW AND 296.200 WAC. <br />1 �/..!!i � `Gi <br />' Si�naWre <br />v'� <br />DEBIT & CREDIT CARDS ARE <br />ACCEPTED <br />Date <br />FEE <br />C Oy C5"-a 35 <br />