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;`," <br />��� <br />� <br />ELECT'�ICAL PERNIIT AP^LICAT{ON <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, �VERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/.�D � /Od ND �t.4 �,� S l�ii �; � ; ) <br />PIiOJEC'f ADDRESS <br />('J �% .TvffN�iN .�/�%d.9" 9G �-'f 12.v�'� Sr .FvE.PF77' Gt�.9T .TGP i�e7.� -�37-'1�%j.� I <br />Owner <br />Tenant <br />Mail AAdrees <br />A1ail Address <br />Ciry <br />Cdy <br />SlaleZp <br />Stata2ip <br />Phone <br />Phane <br />/_�A.PV/�1/ �iY7F.C��.P/SEY/NG ��,�a.2 Jj/!7 C'.C�_F�,(�,(liwD ARG/N6T�.t/ l�i�/� 9,P.�a73 _ <br />Electncal Cantiactoi Me�i nddross Cny Slaio7ip —TT P�,cne <br />�A,c���E � s9i e.T .a��),�.�s�o.� <br />Slale License Number Contract Price ol Work <br />�S//JE'.V7//1L �/N/,�= �,r�iyrit�(� <br />Proposed Use ol Building <br />Desc�ipuon ol Wark lo Be Done: E(�C7iR/CHL (,(/iiQi/!/Ci <br />�r G'HRV��✓ <br />Contect Pereon (Plen Fie�..�-:. � <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES �TILIZING STATE FU'dDS P;1UST P,G <br />APPROVED BY THE ST4TE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHUW THE STAiE <br />APPROVED PLANS BEFGFE CITY OF EVERETT PERMIT WILL BE ISSUFD. WAC 296-46-140. ALL OTFIER <br />EDUCAiIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE R[VIEWED BY iHIS OFFICc'. <br />NOTE: '.NIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY� ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON �^!�i_�. `� <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A WINICtU�.1 <br />OF 15 INCHES AAOVE THE F1.00Fi. WAC 51•20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AiID OTHER OPEFABLE EOUIPMENT WITHIri <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRA✓EL SHALL BE MOUNTE� WI7HIN THE REAC�+ <br />FiANGES QF WAC 51-20 SEC. J106(b)4 E& F AND NOT LESS THAP: 36 �NCHES ABOVE THE FLOOR. <br />I HEFFBY CEATIFY THAT � HAVE READ AND EXAti11NFD THIS APoL/CATION AND KNOW THE SAMC 70 BE TAUE AND CJRFECf A�._ <br />PROVISIONS OF LAWS AND OROINANCFS GOVERNINO THIS TYPE OF WCFI( WILL BE COMPLETEL WHETMER SPECIFIEO HEREIN ��� <br />NOT, THE GRANTING OF A PERh117 DOES NOT PFESUME TO G/VF AUTHORITY TO VIOL4TE OR CANCEL TNE PFpV1510NS OF ANY GTHF� � <br />STATE OR LOCAL LAW REGULATING CONSTRUCTICN OR THE PEFFORMANCE OF COf:S"fAUCTION. 7HAT I Ahl .4UTHUAIZED 8Y TnF <br />OWNEA OF iHfS PFCPEFiTY TJ PERFORM THE WOFI( FOF 4YHICH APPLICA71ON IS MAOE AND I COA1PLv WITH 7hE 5T44: <br />CON7RACTOr 5 La t:' iN _' F�,'�Y ANO C9G £Jo w(aC <br />Signature <br />�,� �.�- FEE <br />Date <br />EsEC;.�-'. �. q : ��. �. - . / � <br />Ft;� . � ` <br />