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` ELE�TRICAL PERMIT PPLICATIOM <br /> cTir OF EVERETT PERMIT�ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> fo��5 A� RPoa.T2� -,.�, 982oa � `��' <br /> PROJECT ADDRESS <br /> pc�ra I�eo��znEs 19900 144'�AVE NE �100o�..�u���t Wa 48o-r2 42S 487 S2q' <br /> Owner Mail AEdress Ciry gta�e/ZiP p�s <br /> /.�uTa�rc�c� (asql s 2 �(,T'� sT I���..�i lasic �i�32 BJo. 9¢S, 4G(D(� <br /> Tanant � Mail Adtlress Ciry State/Zip Phone <br /> 1��e;zs E��,-2,� �o.�xiis2 L,,,F��-rs- ��a 982cc� �2s- 2s2 z�o� <br /> EI6Ctncal Contractor Mail Address <br /> %� C��Y State2iP Phorw <br /> KO��aE��C.2.�Zh'� #� (��� <br /> State License Number Contract Pnce of Work <br /> `��5�-R_� Bu-nO�J t_o2w,�� 1,(IAu..�-vc1L <br /> Proposed Use of Bwldmg Contact Person (Plan Review) <br /> DescriptianofWorkroBeDone: ��Rou�'�F �o�eR �� � a1kTi�JG !n� �ttJ IG,�Grp77pN, <br /> n�lG lG� � 2C—"� . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WqSHINGTON. APPLiCANTS WITH SUCH ,lO�S MU3T SHOW THE STATE <br /> APPf10VED PLANS BEFORE CITY OF EVEAETT PER'MIT WILL BE ISSUED. WAC 296-46-140. 11LL OTHER <br /> EDUCATIONAL FACIUTIES AND ALL HEALTH CARE FACIUTIES PLANS VVILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIUTY: ELECTRICAI AND COMMUNICATION$ SYST�M RECEPTAC:ES ON WALLS <br /> WITNIN ACCESSIBLE SPACES OR ALONG ACCESSIB�E ROUTES OF TP.AVEL S�iA�L BE �MOUNTED A MINIMUM <br /> OF 15 �NCHES ABOVE THE FLCOFI. WAC 5?-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER r.ONTRQL FiECEF'TArC�S ANp 4THER CYP�RABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED WITHIN THE REACH <br /> FANGES OF WAC 51-20 SEC. 3106(b)4 E 3 F ANO NOT'�ESS THAN 36 INCHES ABOVE THE FLOOfi. <br /> I HERE9Y CERT/FY THAT/ kAVE AEAD AND EXAMINEC ';;i�APPUCATION AND KNOW THE SAME TO BE rRUE AND CORRECL ALL <br /> PROV/SIONS OF LA'NS ROINANCES GOVEFNING TH/S TYPE OF WOAK WILL 9E GOMPCETEO WMETHER SPEClFlED NERE/N OR <br /> N07, TNE GR�IN71 F � P,hl/7 OOES NOT PRESUME TO GIVE AUTNOR/7Y 70 VIOL4TE OR CANCEL THE PROVISlONS OF ANY OTNEA <br /> S7ATc OR LOC W E U !NG CONST,9UCTION OR fiFiE�€FiFURbIANCE (7f LCJN$fiRU�'f/ON. 7HAT I AM AUTHOFIZED BY rHE <br /> OWNEn OF T I F PQRTY T PERFOFM 7HE WORK fOA WNICH APPL/CATION IS MAOf AND I COMPLY WITN THE 57ATi? <br /> CONTRACrO S 8.17R AN0296200 WRC. <br /> FEE �� �1 � . S� <br /> Signa re Oate C �[ � <br /> EIECJ�P(REVBI209�) 1—doV�-07-/ <br />