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t <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8�10 - FAX 4'15-?57-8857 <br />_� ��zs��+�ct.e .l�eu,�� <br />PROJECT ADDRESS , <br />9� <br />ownor <br />Tenant <br />fA, il Addmss <br />Mail AdJress <br />Cily <br />Ci�y <br />s1alMZip Pnone <br />Slaln/Jip <br />925)653-4085 <br />ELECTSL042M2 <br />S;ate License Number <br />rna�i neeres, <br />Propo,od Uso of E3uiidinc� . <br />r,iry <br />t� 51$ , ct� <br />Conlract Pricu of V✓ork <br />in,NH i�, <br />Contact Parson (Plan Rmiow) <br />. . . . s� �. •1 � u / � u <br />NOTE: PLANS FOR 6LECTRICA� WORI< AT EDUCATIONAL, FACILITIES UTILIZING STAT[ FUNDS MU57 BE <br />APPROVED BY TH[ STAT[ OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVEU PLHNS DEFORL' CIiY OF EVERE7T PERMIT WILL BE ISSUED. WAC 296-4G-1A0. ALL OT'riER <br />EDUCA?IONAL FACILITIES AND ALL HEALTH CkRE FACILIT�ES PLANS WfLL 3E REVIEWED BY THIS OFFICE. <br />N0T6: WIRING IN NON-D�VELLINGS IS RE�UIRED TO NE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPFED ACCESSIBILITY: ELECTRICAL Af�D COMI�IUNIC:.TIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACC[SSI6LE SPACES OR ALONG ACCESSIBLE F20UTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 151NCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3i06(c)2. <br />ENVIRONMENTAI_ ANU OIHER CONTROL RECEPTACLES AND OTHER OPERASLE EQUIPMENT WITHIN <br />ACCFSSIBLE SPACL=S OR ALONG ACCESSIBLE ROUTES UF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGE5 OF WAC 51-20 SEC. 310(i(b)4 E 8 F AND NOT LESu THAN 36 INCHES A80VE TFIE FLOOR. <br />I HFRC(JY CLl7ilFY TIiAT I fIAVE H(-AO M'U CXAh11NED 7Hf: APPLICATION AND KNOW iHE SAhIF TO DE !RU[ AND CORRECT ALL <br />PNOVISIONS OP 1 AWS �NG OIi�IN�NCES GOVf-RNIA'G (h�S 7YPF CF N'ORK WILL f3E COA1PLEiFD WHETHER SPECIFIED NEREIN OR NOT, <br />II ll - GRANIING O{- A PER611 i DOI_'S NGi� PR('SUh1E TO GNE AUiFIORITY TO VlOI ATE OR CANCEL THE PROVISIONS OF ANYOTHER STATF <br />OK 1 OG1L IAW liCGU( /111NG CONST l7UC Il/7N OR IIIF PC RFOHI.IANCE OF CONSiRUCT ION. THAT 1 AM AUTHOR2ED OY THE OWN[R OF <br />l i�l � PItOPFlrT�Y TO PERl�ORfJ Tllfd lhJllK FOH WI IICII �PPI.IC�TION IS MADE AND 1 C041PLY WITH THE STA TE CONTRACTORS LAW f0.27 <br />liCWi1lJ'J?lGZ00 WAC- <br />��— __ � <br />—� - <br />s��i�,:���:, o�id <br />/ <br />[! i �_;.�,,�i�v r,; r;�i•i <br />FEE ¢►, ��. \ � <br />c�� c�U J <br />� C� c�l' %--0%'�i. <br />