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EL�tC�tICAL PERIVIlT AF�LICATION <br /> CITY OF EVERETT PERNaIT SEHVICES <br /> 'T 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - F `1425-257-8857 <br /> ����I �v�2 '�C�C/1 � <br /> PROJECT ADDRESS <br /> ,, ��e�u� G✓'S� �£�DO S— <br /> Ownef Mnil Adtlress Ciy StatelZip Phone <br /> / <br /> �; ��,r�s f�„Js� /YIv2�� ����e c� wA'- �f3 <br /> J <br /> Tenanf � Mail Adtlress City State/Zip Phone <br /> �✓^,f�� e%�,<�,•� e9�/� G✓,g 360 66/ - /�3s <br /> Elecirical Con�faCtor Mail Address City Stato2ip Phone <br /> � SU O <br /> State License Number Contract nce of`Nork � <br /> `; <br /> �N /✓2.��s �_ <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Dascrptionof WorktoBeDone: _ ��ol'�f� '�z, j�e f.j�t..r� sU�� ��f _ <br /> _ �rL U�ya•��;��c,fn�rn � <br /> NOTE: PL�NS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVEC BY THE STATE OF NJASHINGTON. APPLICANTS bVITH SUCH JOBS MUST SHOW THE STATE <br /> PPPROVED PLANS BEFORE ;ITY Oi EVERETT' PERMIT VVILL 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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABI.E. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM NECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCGSSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOCR. WAC 5140 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTfiER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITNIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> � ncn'c�Y CERTlFY THAT 1 HAVE READ AN7 EXAMINED THIS APPilCAT10N AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PFD'/ISICPJS OF LAWS AND OFDINANCES GOVERNlNG THIS TYPE OF WORK WILL BE COMPL_RED WHh-7HER SPECfFIED HFAEIN OA <br /> �:^,;, Tr!=C'iRANT/NG OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�O�TE OR CANCEL THE PROVISIONS OFANY OTHER <br /> ic GA LOCAL LAW REGULA7ING CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOF/ZED BY THE <br /> :�%/lic'R OF THIS P.90PEA TO PERFORM THE WOFK FUR WHICH APPLICAT/ON IS MADE AND 1 COMPLY WITH THE STATE <br /> =�1rn.:CTORo L4W 18.27 W ANC 296.200 WAC. <br /> w' �D c/ � <br /> �� /�J7i FEE <br /> �_ <br /> SiSn ure Date <br /> aecrslaeverzoo,� �� p�/� _ /a ,/ <br /> � <br />