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i- ELEC r�ICAL PEFi:MIT APrLiCATION <br /> ! CITY OF EVERETT PEcRMIT SERVICES <br /> :�00 CEDAR STREET, E�'ERETT, WA 98201 <br /> 425-257-8810 • FAk 4��•257-8857 <br /> �t 7 0 7 �V�=2 G,� w�y <br /> PROJECT ADDRESS <br /> M�l�/�/< �/��17/C, D :M/�/ 5�5"OU %/�22/�CC I�i� /'JlNA� 9�z03 <br /> Ov:nar t.tail Address Cily SIaldZip Phono <br /> Tenant MaJ AdAross Ciry Slnte/Zip Phone <br /> ���,v %v Er.� cT.� c. <br /> Elpttncal Contrecto Afad Adtlrass Ciry Slato/Zip Phono <br /> eu <br /> /v] � v //�/!- c- 0 0 3 �V ,7— 3 43, 0 0 � <br /> State License Num6er Contrac Price of Work <br /> ,C�'OMM - �Gf-.�7�)L � — 5�.9(.E-S <br /> Proposed Use ol Building Conlact Parson (Plan Rovior�) <br /> DzscriptionofV'JorkroeeDone: W/�'C.0 N�W C' DM�Vj. ,B1.I/L1�1/�/ V <br /> /� D 0 /-�MO fT.�e Vi l.E �3 -Z o o h SGf�S <br /> t•IOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUGH JOBS MUST SHCW 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 R�VIEWED BYTHIS OFFICE. <br /> NOTE: VJIRING IN PJON-DVJELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIL.ITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OFl ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. �NAC 5740 SEC. 3106(c)2. <br /> ENVIRON�dENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES 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 HEAEBY CERTiFY THAT 1 HAVE FEAD APJD EXAIAINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFOV6�0"JS OF I.AWS A!!D OFDINANCES GOVEANUlG THIS TYPE OF WOAK W/LL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> 'iOT, 7HE Gf7ANTING OF A PERMIT DOES PJOT PFESUIdE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STAiE OR LOCAL LAD'J REGULfiTING COfJ57RUCTlON OR THE PEAFOAMANCE OF CONSTRUCTlON. THAT I AM AU(HOAIZED BY THE <br /> 0�%JlEA OF THIS PFOPERTY TO PERFOAIA THE NlOAK FOR VJH�CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> C01dTRACTORS IAY✓18.?7 FCLY AND 296200 V/AC. <br /> ���,��- ����J <br /> � - � 7— 3J — 03 FEE�j� / D o0 <br /> �gnaturn Dato <br /> DE81T d CREDIT CARDS ARE NOT ACCEPTEU <br />