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� ELFC � RICAL PERMIT A� r'�LICATION <br /> � CITY OF EVERETT P�RNiii" SERVICES <br /> 3200 CEDAR STR�'ET, EVERFTT, WA 9A201 <br /> 425•267-881 J • FAX 425-257-8857 <br /> L__ _ <br /> � L�:> /(��TN �/ S"�-✓ <br /> PROJE^T ADDFiESS <br /> �/J.CI% �'/�f-1^f�� /r�i.��C7�/T~%% S't✓ F1/' L✓,I 9�'ZOL <br /> , <br /> Owner Meil Addrees City State2�� Phone <br /> — ���r— <br /> Tananl Mell Addres! City Slete2ip Pnone <br /> �/�O� G�c'�i. <br /> D� � '�:/�7��/vF ;r�7�� /�"'f,C �✓ t.=v -G��r ��'�0�� '/.'J 3��'-5�'i�% <br /> Electrical Conlraclar Mad Address City Stats2in Phone <br /> d�lXZf�3�//NF �`�1��. � `x�, <br /> Stete Licensa Number Contract Pnco ol v.oik <br /> Proposed Use o� Building Conlacl Person (Plan Review) <br /> o / <br /> DescriplionolWorktoBeDane: ,ee=/r/.t"t'. Od�/C�/�L SG/'�ci�G �(i1.�?TC'/L �F ��.C�'� ��tiA.u"� <br /> i�7L� An�.P .SL'���iCl, , l���i�".G fJ'v lN.,U� S%J/1-/77 .E'or���G Sf.:r.ici <br /> T-� - <br /> C�,,�vLc,Tr_. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 3E <br /> APPROVE� BV THE S?ATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STA7E ' <br /> APPROVED PI_ANS BF.FORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILI i'IES AND ALL HEALTH CARE FACH.ITIES PLANS WILL BE REVIEWED � Y THIS OFFICE. <br /> NOTE: N'IRING IN NON-DWELLINGS IS REOUIRED TO EE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPP�D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECFPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALON3 ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMI;M <br /> OF 15 INCHES ABOVE THE FI.00R. WAC 51-20 SEC. 3106(c�2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEG. 3106(b�4 F R F AND NOT LESS THAN 36 I�Ii,HES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THA7 ' H4VE READ ANO E.YAMMED THIS APPLICATION AND KNOW TNE SAME TO BE 7RUE ANU COFFiECT ALL <br /> PROVISIONS OF LAWS ANJ OROINANCE3 GOVERNING 7HIS TYPE OF WORK WILL BE COAIPLETED WHETHER SPECIFIED HERfIN OR <br /> NOT, THE GRANTWG O� a oFRMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF C 9NCEL THE�PPOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTqUCT:'7N OR THE PEHFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPER^' TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH 7HE STA7E <br /> CONTRACTORS L4W iB27 RCW AA'D 296.?00 WAC <br /> � �� ," -� ., J. � �i�. }�i .�,� FE' E <br /> :1- . <br /> � SigneWr� ' Date <br /> ) <br /> DEBIT&CFiED1T CARDS ARE NOT ACCEPTED I-U �'��U � ��� <br />