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ELECT'�ICAL PERMIT AP^LICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />9200 CEDAR STR[ET, �VEF�TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/3�?•� /Od Na /"�,� S!�V G1 G s� ) <br />PROJECT ADDRESS <br />('i� .:�o �N 3��7.4' 9Gr'�1"E/��'-� •S� EvE.�ErT W.95�'.iDP �'I3.a%-'Y7.� <br />Owner ldail Adtlress City Sialo2ip Phone <br />Tenant <br />A1ell Address <br />Clly <br />Stete2lp <br />Phone <br />f=A.Pvi.v �.v7�PRis�5 /NG �Pf�.S.�.2 J//!7 C�E�:SC.f�✓�D ARlJ.t/�ToN l�t�A 9.P.��3 <br />Electnr,al Conlrncto� �.tail Addre;s r_iry S�a�a21p T—T phane <br />�A��iE z'v9i e.T .����.�s �;�s� <br />Stale Lir,ense Numbei Conlract Price ol Work <br />� r .i : . :� <br />• ... �. . : . . <br />Descriplion of Work l0 7e Done: E(�CTiQ/C9L 6(/iiQiNG <br />1'Ar G'ARvii✓ <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT [DUCAIIJN.qL, f'A.C!LITI�S UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGiON. A{'PLICANTS WITH SUCH JOOS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERP.117 WILL 8E ISSUED. WAC 29G-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIFS PLANS WILL BE REVI[WED DY THIS OFFICE. <br />�JOTF: WIRING IN NON-DWELLINGS IS RE�UIRED TO B[ IN RACEWAYS, �AC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLFS ON WALLS <br />WITHIN ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIP,1Uh,1 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51 •20 SEC. 3106�c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEN OPEFABLE E�UIPMENT WITNIN <br />ACCESSIBLE SPACES OF ALONG ACCESSIBLE ROUTES OF TFNVEL SHALL 4E MOUNT[D WIfHIN THE REAC11 <br />RANGES OF WAC 51-20 SEC. 3106(b�4 E 8 F AND NOT L[3S THAN ?6 INCHES ABOVE TH[ FLOOR. <br />I HEREBY CERTIFY 7HAi I HAVE READ AND E.Y:iM111NED iH15 APPLCATION ANO RNOW 7HE SAM11E TO BE TPUE AND COFRECT AlL <br />PROVIS/ONS OF lAWS AND OROINANGES GOVcRNIf:G 7Fti5 T1'PE OF IL'ORH Ltti:L PE COhIPi =TED ll'HETHER SPECIFIEO HEFEIN OR <br />NOT, THE GRAN7ING OF A PEAh11T OOES �:OT PRESUtitE T�� GNE AL THOfiITY TO VIOl.;77E OR CANCEL THE PROVISIONS OF AN✓ 07HEH <br />STATE OR LOCAI LAW AEGULATING COPISTRUCTIO�' OF THE PtR;'JRM1IAh'CE OF COh'STFUCTION. TNAT I AM AUTHURIZED BY 7H[ <br />OWPIER OF THIS PROPEF71' f0 PERFC.4M TME IL'CFh" FCR P: •'�L'N APPLIC'ATIOh' IS hIADE AfJO I COMPLY W17H THE S74 iE <br />CONTFAC70RS L4tY 16T FCW ANO,Sd_OJ lS:dC. <br />Signature <br />E�ECaP�R'cVfl::�tl <br />FEE <br />� �.—�– <br />Dnte <br />r <br />Y� l S�l'li 1 .i �/ <br />