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ELECT'iICAL PER11►11T AP� :.ICATION � <br /> �CITY OF EVERETT PERMI i SERVU�ES 3�b i <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 � � � <br /> , 425-257-8810 - FAX 425-257-8857 (..,�0707--I �7 � <br /> I _ <br /> ��2/ {��c�w4 � <br /> PROJECT ADDRESS <br /> Owner Mail Address Giry State2ip Phone <br /> s�-�/��l�c//s a62/ /�.Pc��w4 Y ,�vc�eE=rr- w,� 9s2c� y.zs'2s�-Se� <br /> ��enant � MailAddress ,O��2o City State2ip Phene <br /> /���� �/ec7i':� /�/3.3 N� �87'.� S�': /I�cGh��/ w/� 98�'s�2 Y�fYSY�� <br /> Elecirical Contracror Mail Address Ciry State/Zlp Phone <br /> /�/17"i���ya�7l�2 ��,5—� - <br /> State License Number Contract Price ot Work <br /> GC?��!'��i�I I leGN �/l/� -- <br /> Proposed Use uf Building Contact Person (Plan Review) <br /> Descriplion a(Wo�k to Be Done: r <br /> ��cC./� �� JZc vo/% oUT�P% T� i✓E'(1� <br /> rQ�Ui Sr in� �� C�"il�t� /N Ln ��V /���1 � _ <br /> NOTE: PLANS FOR ELECTRIGAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVEFE� PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> hOTE: W IRING IN NON-DW ELLINGS IS REOUIRED 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 MINIP:tUM <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 /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE h10UNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I YEREDY CEATIFY 7HAT! HAVE READ AND EXAMINED THIS APPLICATICN AND KNCLV THE SAME TO BE TFUE AND COFFECT AL: <br /> rFOVIS10N5 OF L,•IWS AND ORDINANCcS GOVEFNING 7HIS TYPE OF WCFX WILL BE COMPLETED WHETHER SFEGFIED HEFEIN CF <br /> fJOT, THE GFAfv'T1NG OFA PEFMI7OOES NOT PFESUME TO u1VE AUTNOFITY TO VIOL7TE OR CANCEL THE PFOVIS7CNS OF ANY OTHfR <br /> � SiATE OR LCCAL LALV FEGULATlNG CONSTFUCTION OR THE PEFFCF6fANCE OF CONSTFUC7/ON. THAT 1 AM11 AUTHCFI<'cD 6Y THE <br /> CIPNER OF 7HIS PFOPEATY TO PEFFOFh1 THE WCFK FCR WHICH AFPLICATION IS 6}ACE AND I CCM1!FLY Lt'ITH ThE STATE <br /> CGVTFACTCFS!AW 76.27 FCW AND�F 6200 WAC. <br /> ,��i _ .it/ �2�G 7 FEE <br /> Signature Date <br /> ELECAPIRE';�A.':C01� C C 1O � ' �Qt'� <br />