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FEB-05-04 THU 05:16 PM EVERETT PERMIT SERVICES FA8 N0, 425 257 8857 P. 03 <br /> � ELEC � RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT S�ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425-257-8857 <br /> -�115� � �I� <br /> Pflql CTAD�HE� <br /> � l� �`� ��-(� C�(�Q "I� S� ��Il�f'I�'�� , 1�f7"� �f�i;L.� � <br /> Ow;iar MaAAddress Cily 51ale2qf plwno <br /> Tcu.iql MilAJdress Ciry Statotip phono <br /> �r�_tive Flrctric Corooration - 3108 196fh St SW, Lynnwood, �VA 93035 425-774-6613 <br /> Elcclricnl ConlraAo� MLiI Addre,s C�ry Su�rlLip Phonn <br /> ACTNEC307D5 � � (0�'�, <br /> St�le lken3r,Numhr.� Conpact Prieo ol Work <br /> Pmposod Uso of�uflAln9 � Contacl Person (Plan ReNew) <br /> Dc�oription ct Work to Ba Done: �� � - u�� � I�I� ��������5 <br /> ___�►_�-�a-�s�.����� � � ���� L �� � ��s <br /> NUTE: �IAPJS FOl1 [I_kCTRICAL WORK AT E�UCATIONAL, FACILITIES UTILIZINO STATE FUNDS MUST eE <br /> APt'ROV[D I3Y TI�E STATE OF WASHINGTON. /1PPLICANTS WITN SUCH JOBS MUST SHOW THE STATE <br /> ,'1PPROVEI) f�IANS FIEf'ORF. CI'fY OF EVEFETT PERMI7 WILL BE ISSU�D. WAC 296-46-1A0, ALL OTHER <br /> El1UCATIONAL FACILITIES AND ALL I�FJILTH CARE FACILITIES PLANS WILL�E REVIEWEO BY THIS OFFICE. <br /> tdOTE: WIFIING IN NON-DW61.L.INGS IS REQUfRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> FIAWDIChpPl9D ACCFSSIUILITY; ELECTRICAL ANp COMMUNICATIONS SYSTGM RECEPTACLES ON WALLS <br /> N�IfHIN ACCf:551131.F SPACES �R ALONG ACCESSIBLE (�OU7E5 OF 7RAVEL SHALL eE MOUNTED A MINIMUM <br /> pF 15 IWCFIfiS�DOVG 7HC �LOOR. WAC 51•20 SEC.3t06(c)2. <br /> C�lVIFlONA1flNTAL AND O111ER CONTROL RECEPTACL�S AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCLSSIDI.F SPACES Ofl hLONG ACC6SSIBLE ROUTl2S OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGF.S OF WAC 51-20 SEC.:i106(b)A H&P AND NOT I.ESS THAN 36 INCHES A�OVE THc FLOOR. <br /> 1 HEREGY CERflFY TH/I t I IIAVC• READ/Ih'0 EXAMMEO 1Nt5 APrLICA770N AND KNOW TNE SAME 70 BE T.SUF ANO COARECT, ALL <br /> PCOVISIGN✓^ OF LAV✓BIIMU UIi171NANCES GOVGfiNlh'G 7f I/S TYPc OF WOAK W1LL flE COMPLETED WHET7iER SPECiqEP HEREIN UR <br /> 7:OT, jH2 GR1N71NG UF A!'CRbfl(GOe'S NOT FqESUME 70 GIVE AUTHOR17Y TO VlOLATE OF CANCEC THE PfiOVISfONS OFANYOTIIEq <br /> STAT r ON LOC�L I.A{Y!'EGULIA,N�CON57RUCTION OR TFIG PETiFORMqNCE OF CONSiRUCflON. Tl{AT f AM AUTHOFIZGU 8Y R1E <br /> G�HNER OF 7HIS fRU�'r,'lf�V TO PERFOi;M RiE N'OIiK FQR WHlCH APPLICAT7CN IS hfADE AND 1 COMPLY WITN 7FIE SiAtE <br /> CCN�R4C7UN$L./i{Y 11127 7iC�V AND FJJ.?00 WAC. . <br /> .��_ l�%_� f� L^� I I FEE <br /> S'i)i�ilura Datc <br /> DEBI�&CHEbIT CAIadS Ali�NOT ACCEPTED <br /> E0411' 1 �17 <br />