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APPLIC�r,'ION FOR ELECTRICAt� PERMIT <br /> C/IY OF EVERETI <br /> BUILDING DIVISION <br /> 3200 CEDAR SIREfT <br /> EVERETT, WA �820I <br /> PNONE:(425)257-BB/0 <br /> FAX: (425)257-8857 <br /> �r�33 �'� � a �i <br /> PROJECT ADDRESS <br /> � �'/�i i,c�1' 33 <br /> .� ��r H—j� , Yf� Ccc,3�� vfi��TT- �l//� �i� r- �s�- »� <br /> Owner Mail Address <br /> City State2iP Phene <br /> S/' � — <br /> Tenant Mail Atldross Ciry State2ip Phona <br /> /��� �Cf�i� 17r3l�� yT��—� �'vf��;T l . ���� � <br /> Eledncal ConLaCtor Matl Address � Ciry �` StatelZip Phone <br /> 1���� S1. � �� �/ ��T� _/ (�/��/_o�ri <br /> State License Num er Contract Price o(Work <br /> .�7�' � � � <br /> Proposed Use of Budding Contact Person (Plan Review) <br /> Description of Work to Be Done: Q,t�f /���w �mU�,(yN�P ,�jv���( ,� n ,�Ur�,�/' � <br /> �-ir--�,i�r _�.v��i'i � , l�L o � �/ �' /� � � <br /> , 7� , < i� � � ��� rz�v <br /> —�-,f�G'�.- ,c/G' if�CC�I-P�i r�� �i . f.� /� % y�i f y'.� --cer <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CiTY OF EVERETT PEflMIT WILL BE ISSUED. WAC 296-46•1�70. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED A MINIMUM <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 AIONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE AEACH <br /> RANGES OF WAC 51•20 SEC. 3706(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CERT/FY THAT I HAVE READ AND EXAMINED THIS dPP1lCATlON AND HNOW THE SAME TO HE TRUE AND COFFECL ALL <br /> N07VTHE 6F�NT1NG OFA PEFh�T DOES NOT PRESUA E TO/GIVE AU7HOF�TY TO/VIOLATE ORPCANCEL THE PROVISIONS+OF NY CTNEF <br /> STAi E OR LOCAL LAW FEGUL.ITING CONSTFUCTION OR THE PEFFOFM11ANCE OF CONSTRUCTlON. THAT 1 AM AUTHOFf2ED BY iHE <br /> OWNER OF THIS PROPERTY TO PEFFOFM11 THE WCFK FOF LYHICH APPLICATION IS MADE AND I COMFLY W/TH TYE SiAiE <br /> CONTF4CTOF5 41W 1827 RCW AND 296200 WAC. <br /> �� L�l�-C—�G%7� .G�>' FEE <br /> Signature Date <br /> ELECAP(REV 898� C O���-�y _ <br />�. <br />