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� �� V �i <br />PROJFCT ADDRESS <br />Owner <br />�LEC�i���tICAL PEF�MIT AP� L,ICATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Mail Address <br />City <br />Stato2ip <br />Phone <br />/�-Tr U��ru�u;�.s.s 2�:�, �_P�zoPi�i Pn,2� �2, 2�ncr�ro c�r2n�A �a °�s�7 <br />Tenanl Mail Adtlress I v I x� City State2ip Phone <br />mr��-� <br />Electrical <br />� C�.o ctn c. z:. <br />M ✓l �U: �i 0 (� m n�-/�1 <br />Slate Licensa Number <br />Mail Address <br />� <br />Ciry <br />State(Lip <br />�'1� uV,� <br />Coniract Price of Work <br />Phone <br />G�� Unmuhed �� u�i�- <br />Proposed Use of Building Contact Person (Plan Review) <br />Descriplion of Work ro Be Done: i �� ^• h� �J a. cyU �%�9� � �ifl��.,(iv %O G v"a(�� �ii� <br />CL�� kl �P <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROV[D 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPRU'JFD PLANS BEFORE CITY OF EVERETi PERb11T WILL BE ISSUED. WAC 296-46-140. AI.L OTHER <br />EDUCAT;ONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL 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 CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIf3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE N10UNTED WITHIN THE REACH <br />RAIJGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE Fl �OR. <br />l HEf7EBY CERTIFY THAT 1 HAVE READ AND EXAMINEG THIS APPLICATION AND KNOW THE SAME TU BE TFUE AND CORRECT. 4LL <br />PROV/S/ONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIi. OR <br />NOT, THE GRANT/NG OF A PERMIT COES NOT PRESUME TO GIVE AUTH0.41TY T0 VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGL'LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7H.D FCW AND 296.200 WAC. � <br />LCi/A �ZL F � ��' /l� �P v <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />3-1 a -C?� <br />Da�e <br />FEE , .,-� — <br />�h/ <br />.� <br />��G��l�� <br />7 <br />