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F . �I <br /> - _ ------- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32C0 CEDAR STREET, EVER[TT, WA gg2p� <br /> 425-257-8810 - FFllC 425-257 857 <br /> l0407 A.R.4b2r �,a.a <br /> PROJECT ADDRESS <br /> L.awREnrLsM 4�oR.uw�Tt -10407 �.. a. ¢� �-Q --n VUA 4 [oy {42S) T4 7� <br /> Owner MadAddress �y � S�te1Lp p�� <br /> Lnwf1GNCEM We2�vH-ri. -luNo� .4.aPov 20. E 2t.rr WA. 9E204 �'-lZs)-n�l laoe <br /> Tenant MailAUdress Cp�, S���p �1e <br /> NF..�"Tl� �OLTHW65T 7�.7 S. �j`y�µ S( �qT711�` ,�Vf� . q8 10$ (�ly� �p'rii -31� <br /> Electrical ContractOr Mail Address City StatrJLp p�� <br /> �}�A TH NS 9Sb� 3 Z rP "1 .`�iAO ,o0 <br /> State License Number Contracc pnce of Work <br /> �:' <br /> Proposed Uw o(Butldmg Contact Person (Plan Review) <br /> Descr.ption of Work to Ee Done: _ ��.IST,nal{, /}T�O N JP �) � /�1G W Sl N tiLE <br /> '��d..6a 1 l . �� . . .., d-rc� W�.�. Cl /`l <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIL!TIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'�N SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSU�D. WAC 296-06-140. ALL OTHER <br /> EDUCATIONnL FACILITIES AND ALL HEALTH CARE FACILITIES PIANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWE-LLWGS iS REQUIREC TO BE IN RACEWAYS,MC OR AC CABLE. <br /> � HANDICAPPED ACCESSIBII.ITY: ELErTRICAI AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLB <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUA", <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SFC.3106(c)2. <br /> EiJVIRONP�tENTAL nND OTHER CONTROL RECEPTACLES ANC OTHER OPERABLE ECUIPMENT WITHIN <br /> l�CCESSIE3L[ SPACES OR ALONG ACCESS;BLE ROUiES OF T24VE�SHALI BE AaOUNTEO WITHW THE REACH <br /> kAN3ES OF WAC 51-20 SEC. 3106(b)4 G & F AND NOT LESS THAN 36 INCHES AE30VE THE FLOOR. <br /> I ll:R[OY CERTIFY THA7/HqVL RUD AND IXAMINED THlS APPC!CAT70f!ANP h'NOW DiE SAR!L TO GE TRUc AN(� CORRECT. :d: <br /> Pi'OVISIONS OF(1�W5 A�JD ORDlNANCES GOVERNING THlS TYPE OF 1tOf:K L:'ILL G�COMPLETEO WHETHFR SPEGNED HEREIN OR NOT, <br /> irlE G2INTING OF A PEFAIIT DOES flOT PRESUf.1L 70 GfVE iIUA{ORI7Y TO VIOlATe OR CANCEL THE PROVISfONS OF ANY OTNER STA TE <br /> LR LOCAL LAW REGULfiTING CONSTRUCTION OR TII�p[;ZFCRAfANCE OF COlJSTRUCTIOAS THAT I AM A(/Ti{ORIZED OY THE OIVNFF Of� <br /> 7 i f.'S PRO!'ER7Y TO P[RFORId TIIE WORK PoR 11'I q�1/qppUCA710N lS M.:DE AND f COAfP�y WITN TH[STATE CONTRACTORS U LV 7 E.Y <br /> l:CVIl.ND 296200WAC. <br /> � I/�i1� ;�� W�W�YI 1 -t! "�S FEE <br /> _�_ ��..�.,,�,,. ���� C_ <br /> �� :��::�_ - <br /> ���� ��`�� <br />