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�� ��� �v"4�( � �/�� . /1,��- / �/? Y l��� <br /> /C <br /> ELECTRICAL PERMIT APPLICAT ON <br /> ClTY OF EVERETT PERMIT SERVICES � �y �.�b <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 C- �cb2 oa6 <br /> �_� / � - ,������/f� y�/ <br /> PRO/JfrC�T//9��A DR/E$/$ / ��,�( /��(�� /�,� / <br /> (��` �( ! �1v (iL�f�d' ,'`�/lrf �S�lJ�F--rCCI�JL^�-'/ �G�'/� �/)Y�JI 3YY <br /> Ow r Mail Address City Stale2ip Phone <br /> `�� // � � � - /�,, G . �� <br /> �/�C'i y/ -�l/L /I/G •- /�" �.✓�.., �i�c-�. �I-� /�u% ��-/-� ?Ly. <br /> Ten ,�;� MailAdtlress Cly Stale2ip Phone <br /> ��y�- C�'cT i� �3� /� /►�a. /z7 ��e�..:.=�� �/�1��33 �G 3�7 7�c�. <br /> EleclnCalContractor MallAddress Gty Slate/Zip �` Phone <br /> /�o�c����ir.i Lc- _> ��,�, _ <br /> State Li se Number � Contract Price of V�brk <br /> `—r//�L/N t/i�'�F�L <br /> Proposetl Use ol Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> /L��i✓ Ni/i- Cc-�i�- l / ✓GF .�i�-t -- /.Z <br /> ' NOTE: PLANS FOR EL[CTRICAL WORK AT EDUCATIONAL, FACILITI[S UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROV[D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCA710NAL FACILITI[S AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> �OTE: WIRING IN NON-DW[LLINGS IS RE�UIRED TO BE IN RACEWAYS: MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICA'TIONS SYSTEM RECEPTACLES ON WALLS <br /> WITIiIN ACCESSIBL[ SPACE3 OR ALONG ACCESSIBLE ROUTES GF TRAVEL SHALL BE MOUNTED A MIWIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> [NVIRONA4FNTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACC[SSIBLL= SPACES OR ALONG ACCLSSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES Of WAC 51-20 SCC. 310G(b)4 [ S F AND NOT LESS THA�3G INCHES ABOVE THE FLOOR. <br /> l HERE�Y CERTIFY THAT I HAVE READ AND EXAMlNED THIS APPLICATION AND KNOW THE SAME TO OF iR�.:AND COR,7ECT ALL <br /> PROVISIONS OF LA WS ANO ORDINANCES GOVERNING THIS TYPE OFWORK WILL BE COMPLETED WHETHER SPEC!FIED HEREIN OR NOT, <br /> 7HE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO V/OL/+TE OR CANCEL THE PROVISIONS OF ANY OTHER STAT[ <br /> OR LOCAL LAW R TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I Ald AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY O ERFORM 7HE WORK FOR LNNICH APPLICAT/ON IS MADE AND!COMPLY WITH THE STATE CON7RACTORS LAW 1827 <br /> RCW AND 296260 AC. <br /> �� � � � � . <br /> ; ��� � /U FEE <br /> Signature � Dale <br /> �/ r <br />' ELECAP(REV82001) <br /> � � <br /> . - r <br />