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I, /�,�-�� ELEC `,'RICAL F�ERMIT A -`PLICAT{ON � <br /> ��� CITY OF EVERE'�l' PERMIT SERVICES , <br /> "`���TT 3200 CEDAR STRI=ET, EVERETT, WA 98201 I <br /> 425-257-8$1Q - FAX 425-257-8857 <br /> i <br /> ,` �' � �l �� .n � 1� �1 . <br /> PROJECT A�DRESS <br /> -� - — <br /> ���, . J � � <' ' i ., , � �,c r� <� I r � '— c'� �: ; �� �'� -7 � a'-� <br /> , <br /> Owne� f6ailACtlrr-;� G�n/ Sta1FZ�.p Phone <br /> Tenant L9a�l :tldrese C��;7 S;are:Z�o P;,cnP <br /> z -� <br /> I�,� I � „ .�.J .-, .)L�UI L��c�-i.r �Y � vt L(:,^t � (r` `>.�iCI( <br /> Elect i al ContfaCtor MailAdEress Ciry Sta�e2ip Pnone <br /> 1= y���r ss � N �c- i� <br /> State License Number Contract Price of Work <br /> <� <br /> < •� s �� <<,-�- L� <br /> Proposed Use of Building ` Contad Person (Plan Review) <br /> Descnption of Work to Be Done: _ �� (.��,r �+ �L��Ci �l �aa i� � >E� : � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT E�UCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. <,PFLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERET7 FER��IIT WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEAITH CARE F'ACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON�DWELLINGS IS REOUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTFiICAL ANI) COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSiBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABQVE THE FLOOR. WAC 57-20 5EC 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPT.ACLES AND OTHER OPERABLF E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALUNG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NCT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I NEFE9Y CEAT/FY THAT I NAVE FEAD AND EXAA1INED THIS 4PFL1CAilCN AND KNOW THE SAME TO BE TF.UE ANO COFFECL ALL <br /> PFCVISIONS OF L4WS AND OFDINANCES GCVEFNING rhlS i�;PE OF WCFK WILL 6E COMPLETEO V✓HETHEFi SPEGFIED MEFEIfJ OR <br /> NOT. TNE GFAN7ING OF A PEFMIT DOES NOT PFESUME TO GII�.E AU7HCFITY TO VIOL47E CF CANCEL THE PFOVISIONS OF AfJY O i HEA <br /> STAiE OR L'uCAL L1W FEGULATING CONSTFL'CTION CF 7HE°EFFOFh1ANCE OF CONSTF.UCTIDN. THAT 1 AM AUTf-�OFIZED 8Y 7HE <br /> OLM1'f.'ER GF iHiS FFOPERTY TO PEFFOFM rHE INOFK FCF` WHICH APPLICATION !S MADE AND 1 COMPLY WITH THE SiATE <br /> CCN7rAC7GF5 L41V 782�FCW AND 29ti.200 tNAC. <br /> � . 3��� <br /> ��.��:-� i rf. . . ..�.,± �/ `� — FEE � r <br /> i <br /> i <br /> . Sipnature/ Date <br /> i <br /> E'_=CAP�FEVB12DOt�� � �` � I';,�V, <br />