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� � ELEC � RICAL PERMIT A� �LICATION j <br /> �� CITY OF EVERETT PERMIT SERVICES <br /> a 3200 CEDAR STREET, EVERETT, WA 98201 y—�7--�6 I <br /> 425-257-8810 - FAX 425-257-8857 �=obo y..l�� � <br /> �� � GU ���/ �i/� . <br /> PROJECT ADDRESS <br /> Son .A . Poti-E- ress �{s�L L'olh� !�-ve Ever-ef� (,cl�i 98 �n3 <br /> � <br /> Owner Mai�Adtlress Ciry State.Z�p Phone <br /> _,-fa��_y��� <br /> TenaN � Mail Address City State2ip <br /> S�:Z.S= "T�bO°%�}"/�'- <br /> U7ic,�1�c��Wrr r��- �,�,��< _ /r�, I��J��Q L����»v✓ �,[�/09� <br /> Electrical Contractor Maii Atldress Ciry State2ip pnone <br /> �/ �o . an <br /> State License Number Contract Price of Work <br /> �f":/C�'P7�/! Q � <br /> Proposed Use o(8uilding Contact Person (Plan Reviewl <br /> Descnption of Work l0 9e Done: �(C'D r//Y 7�/!7'� C Y[n�F' (71/ /`7'� r' V/U?/�' <br /> PlPr �rircYl J�c%n�,("f°r . / <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />' HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON Vc'ALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-2� SEC. 3106(c�2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHiN <br /> ACCESSIBLE SPAi;ES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED 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 HEFE9Y CERTIFY THA7 I HAVE FEFD AND EXAM1IINED THIS APPLlCATION AND KNCW THE SAME TO BE TRUE AND CGFRECr ALL <br /> PROVIS10N5 OF IAWS AND OADINANCES GOVERNING 7H15 7l'PE OF WORK WILL 6E COIdPIEr'ED WHETHER SPECIFIED HEFEIN OF <br /> NOL THE GFANTIIJG OF A PEFM17 DGES NOT PF.ESUME i O GIVE AU71�OFITY TO VIOLiTE OR CAfJCEL THE PFCVISIONS OF ANY GTHEF <br /> STA7E OR LOCAL LAW FEGULAPNG CON57RUCTlON OR TNE PEAFOFhfANCE OF CONSTFUCTION. THAT 1 Ah1 AUi'HCFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WOFK FCF WHICH APPLICATION !S ,4fADE AND / COh1PLY WI7H TkE STATE <br /> CONTFACTOR51.4W 78.27 RCW AND 296.200 WAC. <br /> �, <br /> �� ✓ � -, 't''� , % FEE <br /> �f <br /> Signature � � / �ate <br /> i .- . ,� <br /> • ,-,�n,..;..,,__„ ��_. _—'" � . i r �1, <br /> L....... .. � ' ... . � . . � � ' � <br />� <br />