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EL�C�. r�ICAL PERMIT AF _'LICATION <br />CITY OF EVEREiT PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��o� I ��"A.�� w�d— C �-�� ` <br />PROJECT ADDRES.ri <br />LO�L1 CV'�� <br />O�vner <br />Te�art <br />Mail Address <br />p,tail Addiess <br />City <br />Cily <br />State2ip <br />State2ip <br />Phone <br />Phone <br />I�-d(LIL(�ivYC 'Z-`I��o Pw..�S�- �v� (,Ja �IGZDI ZSZ�'�foi <br />Eleclrical Conlrector ��1ail Atldress City State/Zip Phone <br />��'�nE�Fc �-o�� J 1 <br />State License Number <br />�F2 <br />Proposed Use of Building <br />Description of Work to Be Done: <br />�0. <br />Z lS�`' <br />Contract Price of Work <br />Contact Person (Plan Heview) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF VJASHINGTON. APPLICANTS �NITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLA'JS BEFOAE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES A�D ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMEN�iAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPh4ENT 1NITHIN <br />RANGESI OF WAC 5E 20 S C�3N 6(b 4CE & FI AND OTTL S6 THA1 36LINCHES ABOV�EUTHE �F OOR IN THE REACH <br />� HEAEdY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECL ALL <br />PFOVISIONS OF LA WS AND ORDINANCES GOVEFNIWG THIS TYPE OF WORK V✓ILL BE COMPLETED WHETHEF SPECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A PEAMIT DOES N07 PRESUME TO GIVE AU7HOAITY TO VIOLATE OR CANCEL THE PFOVISICIJS OF ANY OTHER <br />OIN� ER OF �THI S PAOPERTYATO PERFOF �UT'NE VJORKT FOR EWH�CH APPLICATION �SRMADE ANDH� COMPLY WI�H' THEeSTATE <br />CONTP.ACTORS LAW 7827 RCW AND 296.200 WAC. <br />`Z,�,w � �n11ro�Z. <br />Signature <br />- 3'C <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � 03 D�t-DDS� <br />FEE <br />