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ELECT�ICAL PERMIT AP.pLICATiON <br /> CITY\UF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> a� 3�r ia��' Si- ; <br /> PROJECT ADDRESS I <br /> �ve; eTf� �-OusiNG �uT�e�i 310� Co�g �vere�'lx�f4 �lBa.o ya5 � <br /> I ,sol-5(.,c,l I <br /> Owner Mail Address I <br /> Ciry StatelZip Phone � <br /> z rF (� <br /> i <br /> Tenant ' Mail Address Ciry SWte21 � <br /> R Phone <br /> 1-Njlr7Z�`iZ �L�LjL�c �D. f,�7'6�! 32�1 s — /�-2LiNG77�v— k-� 9�7iZ 3 3�ao �os"S 3/9�/ <br /> Electncal Contractor Mail Address C�ry SWte2tp Phone <br /> LiilT�lLN�- Y�z(Zy <br /> State License Number '� 3�`5�� <br /> Contract Pnce of Work ' <br /> �nitnc�i•I pj�ll Lluyc GSSU349� <br /> _./til�tLTl I—�tMIL`f � F{R— �tt-< LqNGv�� 4aS•SO/•SGG/ ! <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: ��move I Re�1ac� � �-ec�r;c•�-Q Pon�� S �n ewc(� <br /> u n�'"f' <br /> NOTE: PLANS FOH 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 EVERE'fT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BF_IN RACEWAYS, MC OR AC CABLE. <br /> WITHDIN ACC SSIB EESPACE OR ALONG ACC SS B E�OUTEIS OF�RA ELSSHAL RBE MOUNTED �MINIMUM I <br /> OF 15 IN�HES ABOVE THE FLOOR. WAG 51-20 SEC.3106(c)2. � <br /> ENVIFONMENTAL AND OTHER CONTROL RECENTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG HCCESSiBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> FANGES OF WAC 51-20 SEC. 3106(b)4 E &F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CER7IFY THAT I HAVE READ A�;O EXAMINED TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING 1'HIS TYPE OF WOqK WILL BE COMPLETED WHETHER SPECIFIED HERe/N OR <br /> NOT, THE GRANrING OF A PEFMIT OOES NOT PRESUME TO GlVE AUTHORITY TO VIOLqTE Oq CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT I AM AUTF{ORIZED BY THE <br /> OWNER OF' THIS PROPERTY TO PERFORM THE WORK F0,4 WHICFI APPLICATION IS MADE AND 1 COMPLY W17H THE Si'A7E <br /> CONTI7ACTORS LAW 18.27 RCW AND 296.200 WAC. ^ <br /> / "/ <br /> �� . �� <br /> � � f/ /1/� FEE <br /> Signature Date <br /> Felil-O�5 <br /> ELECAP�FEV 812001� <br /> i <br />