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ELECT�1 �CAL PERMIT APF° ICATION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �' f S l�t/, '4� s r,r� 1R� . Ll�vi t t - g <br /> PROJECT ADDRESS <br /> Owner Mail F,Itlress Ciry State2ip Phone <br /> ,�2,n -s v� G� /l/`O_l��Oc�/t C-C�rt.�CV' � ��rlS Lw '�Bci��4�^/-� �-6C-OYn1� <br /> Tanant Ma�l Address Ciry State2ip Phone <br /> Sea�urti' �fi�n� Srrli7-�1 /-�-u-2 Eu2r2� 1.t.14- r�1G� 'LSS-(9?� <br /> Electri[al Coniractor Mail Aaaress Ciry Slate2ip Phone <br /> J< E-7 �,�.�d�O.00 <br /> State License Number Contract Prlce of VJork <br /> ��, ron rn�P� n���e. � S S �exr. 3?-� <br /> Proposed se of Bwlding Contact Persan (Plan Reviow) <br /> Description ol Work lo Be Done: C�firO � �/ C� MeVr�vn /n/'/D P„Cr {1`/�vJ fJ�cY� <br /> Ce�,rvt�n" .a X- R.c�c� ���7-. — ad�«,� n �ecr�tac(zt " cFwr6'i2,� L,T„_ <br /> _�t<'1"�✓e �,�;; h�. o�d�ava swct;.l��c. <br /> — - ./ <br /> NOTE: PLANo FOR ELEGTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED f3Y THE SfATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPRO`/ED f'I�ANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSU�D. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: 1NIRING IN NUN•GW[LLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS Sl'STEM FECEPTACLES ON WALLS <br /> WITHIN ACCESSISLE SPACES OR ALO�JG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c�2. <br /> ENVIRONMENTAL AND"OTHER CUNTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES 0.9 ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51 2J SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOF. <br /> 1 HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION ANO KNOW THE SAh1E TO B6 TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS AND OROIN�'.NCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, iHE GFANTING OF A PEFMIT OOES NOT PRESUME TO GIVE AUrHCRITY 70 VIOLATE OF CANCEL THE PROV'.`�IONS OF ANYOTHER <br /> STATE OR LOCAL LAW FEGU:ATING CONSTRJCT/ON OR THE PERFOFMANCE CF CONSTRUCTION. �FfAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPEFTY TO PE.FFORM THE WORH FOF WHICH HPPLICATION IS MADE AND 1 COMPLY WITH THE STA7E <br /> CONTRACT0I75 L4W 182'FCW ANO 296100 WAC. <br /> �p� �� - O�l,� <br /> (��n�9 ���i7.��-._. �n -�J3'-o r FEE <br /> Signatme Date <br /> ELECAPIREV fi70011 <br />