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�� ELECT' �CAL PERMIT AP� _ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ��E� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ (U`101 EVUZcrR �t'�1 W/IV <br /> PROJECT ADDRESS <br /> /i A- Go�US �UN IU�OI EVE12Crf�EN WAy G��z�7-r �n/� .�o y5q 32vo <br /> Owner PAail Address <br /> ��ry State2ip Phone <br /> SftM E <br /> Tenant � Mail Address Cily State2ip Phone <br /> ��5 SllrNs -tN(. R�51 COMM -Y/s PLDRN I-trCEv, Viln 98ri1� <br /> EI_cirical Contractor Mail Address City State2ip Phone <br /> $fiv�si i�,� �3 a5,uoo <br /> State License Number Coniract Price of Work <br /> �U�I�N C.Fr�tT�IZ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: i.pj - � 'r UI�IE(l� I LL(.(WINR i�t\ <br /> Fi�,� r-�-rL s-rRt.cauQF . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILiTIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED F ANSEBEFORE �C TY/OF E ER�Ei"i PERM TAWILL BE ISSUED. J WACM 96 46-H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTHICAL 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 /> ENVIRONMENTAL AND OTHER CdNTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CE.47/FY THAT 1 HAVE FEAD AND EXAM/NED THfS APPLICAT/0N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISlONS OF UWS AND ORDINANCES GCVEFN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETh1ER SPECIFIED NEREIN OR <br /> NOT, THE GRANTING OF A PERhfIT DUES NOT PFESUME TO GIVE AUTHORITY TO 'JIOL,1 TE OR CANCEL THE PROVISlONS OF ANY OTHER <br /> SrATc OF LOCAL (.;iW FEGUL7TING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OLVNEF OF rHIS PFOPEFTY TO PERFORM THc WOFK FOR WHICH APPL/CAT/ON IS MAOE .iND I COMPLY WITH THE ST.4TE <br /> CONTRACTCFS G1 W 76.27 nCW AP;O 296.200 WAC. <br /> �!(/ly'�I��LY,I�t' �p-((7�L} FEE . <br /> S�gn�twe Date <br /> ELECAP�R'c`!B/2�Ot� /'---/'��_ �` / <br /> L�7 u� <br />