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� ELECT�,ICAL PERMIT APF �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 ` �,`� <br /> 425-257-8810 - FAX 425-257-8857 �� „� ,,��Y <br /> � �`rs��-"'��-- <br /> � <br /> � , �,� � � � �� ��i ' � r r.��i,- �,-<'c� 3 <br /> PROJECT ADDRESS 7� / <br /> ' l� l.�i� '( ( Iti! �,( I �aji�t ��C`��i� �IC'(i�, CcQ /1_� l���a � SL'� � ✓.`1j� a7C-�b�y% <br /> Owner tdatl Address Ciry State2�p Phone <br /> ' �/I �� li <br /> Tenanl Matl AtlUros> Ciry Statc7ip Phc'�e <br /> Elec�rical Contrector Mail AUtlress Cny Slete;Zip Phone <br /> Stnte Llcense Number ConVact Pri,;e of Work <br /> Pioposed Use ol �udding Contact Pe�son �Plan Review) <br /> Description ol Work to Cc Donc: �• I � �.�� � i�� / _ i•< < � ( �. � -,r 1•r_ � /'•��ii ��!—Lt�. `� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCl�TIONAL, FACIIJTIES UTILIZING STATE FUNDS MUST BE <br /> APPRO�'ED BY iHE STATE OF WASHINGTON. A!'PLICANTS WITH SUCH , OBS MUST �HOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETi FERMIT WILL BE ISSUED. WAC 296•4F-140. ALL OTHER <br /> EUUCATIONAL FACILITIES AND ALL HEALTH CARE r=ACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE. W IRING IN NON•DWELLINGS IS REOUIREO TO BE IN RACEW AYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEFTACIES GN WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG AC;:[SSIBLE ROUTES OI� TRAVE� SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES AE30VE THE FLOOR. WAC 51-'t0 SEC. 3106(c�2. <br /> ENVIRONMENTAL AND OTHER CONTRUL RECEPTACLES AND OTHER OPERABL(: EQUIPMFNT WITHIN <br /> 4CCESSBLE SPACES OR ALONG �CCESSIBLE ROUTES OF TRAVE'� SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF W>� �1-20 SEC 3'Go(b14 E S F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> : �iEFEB1" �CF71F1' 'Ha 1 � ��41'[ ,HO d�C ���AM1llNED TI'�S aP�UCA710N .4ND KNCW THE SAM1fE TO BE TRUE AND CORr7ECT. ALL <br /> ';'l'i9CN5 JF i.�IVS 4NC �FCiNANCEF .;C1'FRNM� rMS 'YFF JF WORH WILL BE COMPLETED IVHETHEfi SPECIFIED HcREIN OR <br /> VOT ThE GFANTING OF d PEFhV700ES,YOT F.ESJ'.�E 'O�IVE 4UTHCRITY TO VIO�A7E OF CANCEL i HE PROVISIONS OF ANY OTHER <br /> ��'AiE OF LOCAL I.AW REGULA7ING i JNSTrU�TIG. �S "HE PEFFOFM1I4NCE OF .:CNSTRUCTION iHA'I AM AUTHOFIZED BV THE <br /> J11'NER OF THIS PROPERTI' TO PLFiFOFId ;H[ IM1�CFK �CF WH'�H dPPLICATION IS MADE AND � COMPCY IVITH 7HE StA7E <br /> �ON7F4CTOFfS L711' 1H�7 RCW 4ND:9fi�JJ It%1C <br /> � i�� �� FEE <br /> �Siqnmwv Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � �v� _�S� <br />