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J y �' i <br />PROJECTADDRESS <br />; i� � 1 <br />Ownei <br />__ -- - - - <br />ELECTr,ICAL PERMIT API- �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FA:: 425-257-8857 <br />� <br />� � �, <br />�-� ��. ��;. <br />(��` � t k It- <br />Mnil Addiess <br />r'1 � '7 �^ <br />�-� �` l.- Uc_�-���� <br />� <br />Ciry <br />St�te 7ip <br />� ,!' 'C' <br />Phr, ", � <br />ir.nAnt MailAtltlress Ci1y Statc�Zip Phone <br />��l.ul�l..�._. � �c'�'l� ( �•���� ��<<1�U�.�� � ' 7��4 /` ���J�JYi� ���� _�/�'��'�. <br />[leclnr�l CoNraclor Me�l Address Ciry Stole2ip Phone <br />�, I ?`) f•', / G I <br />Siritc Licr.nse Number Contract Pnce ol Work <br />f�'rop�,sed Use ol B4dding <br />Gontacl Porson IPLin Revirwl <br />_-� � / / � / <br />Descnplion ol Work lo Be Uone: %�_ c„��' , ` � �_ c� v� � �( <br />7�I <br />� <br />NOTE PLANS f pR ELECTRICAL WJRK !. � FDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST B[ <br />APPHOVED f3Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROV[D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 295-J6-ta0 ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE FEVIEW[D BY THIS OFFIC[. <br />NOTE: WIHING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CAk3LE <br />IIANDICAPPED ACCESSIE3ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL[S OtJ WALLS <br />WITHIN ACCESSIBLE SPP,CES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A ��11NII�1UM <br />OF t�i INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106�c�2. <br />EIJVIRONMENTAL AND OTHER CONTROL RECEPTqCLES AND OTHER OPERABLE EGUIPMENT WITHIN <br />ACCFSSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNI'FD WITHIN THF PEACH <br />f��NGES OF WAC 51-20 Sf_C 3106(b11 E 8 F AND NOT LFSS THAN 36 INCHES ABOVE THE FLOOR. <br />i riCHCP� � LRnF�� R�a i� HaVE �;EaU aN� EtAEtMED �N�S 4P��.�Ca710N aPJO kNOW THE SAME TO BE TRUE 4ND CORAECT ALL <br />°i;�`I';SIJNS OF L4lVS 4ND OFOINANCES i;OVEr'NINi3 Ih15 T1�PF.� OF WCFN tY'ILL 6E COMPI ETE� WHETHEA SPEGIF/ED HEREIN OF <br />:C I, i HF t3FANTING UF A PEFM1IIi COES NCT PFESCAIF 'C i�Il'f AUThlOF17Y 'C 190L,4 TE OF C4NCEL THE PROVISIONS OFANY OTHEF <br />,"47E OR iOCAL L4W REGULATING CONSiFUCTION JR 'MF �Ff7FJFM1fANCE OF CONSTRU�TION 7HAT I Ah1 AUTHOFIZED B5' THE <br />'lt'NER OF iH/5 PROPERTY TO PEFFORhI 'HC tY�'Fh FOF lL'HICH 4PFUC.tTIC�V �.5 MADE 4N0 I COh1PLti' Wf7H THE STA7E <br />.": ir>4CTOAS LA4Y� 27 RCW AND 296200 IVA� <br />1 <br />{^�.� ._--- <br />Signeture <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� �T FEE - �" -`- <br />% i ' - '. 4 <br />� <br />Date <br />(;i_���� �`�� <br />