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� � � ELE�. rRICAL PERMIT Q. �PLICATION <br /> ✓ " CITY OF EVERETT PERMIT SERVICES <br /> ��� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870 - FAX 425-257-8857 <br /> ��s.x x �-� ; a,� �- <br /> PROJECT ADDRESS <br /> �-IA���: R.c���. Cc��J. J`1Z�, ����A�C n�C E�-'cR�i � l�.i(a �162c� - <br /> �!7`�-3`I?-�3( U <br /> O�mer hlail Adtlress C�'v Slale2ip Phona <br /> Tenant M1tail Atltlress City StatelZip Phone <br /> S��mm�l E1c��c;c 6z�3 ZC^•151 ST STAN�/v-C�,v� � �2qZ �►�s �e s�s9 <br /> Electncal Coniractor MaJ Atldress Gty Stato2ip Phone <br /> _Sv�mm�e � c,til m3 ���,��, <br /> State Ucense Number Contract Pnce of Work <br /> �� 171F x <br /> Proposed Use o(8uilding Contact Person (Plan Review) <br /> Descnptio�of Work to Be Done: ��'y� (��'��C`� y y,��l�.P � <br /> i <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 BEFOFiE CITY OF EVERETi 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-DWE�LINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> �A^JDICAPPED ACCESSIBILITY: ELECTAICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> ': �HIN ACCESSIBLE SPACES pR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> �- 'S INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3706(c)2. <br /> -'+71RONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMEMT WITHIN <br /> • ::ESSIBLE SPACES OF ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> -�•'iGES OF WAC 51-20 SEC. 3106(b)a E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> . -��=3Y CEA7IFY THAT I HAVE READ AND EXAh11NED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br /> -:i570NS OF UWS AND ORO/NANCES GOVEFNING 7N15 TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> - � "HE GR.INTING OF A PEFM/T DOES NOT PRESUI.fE TO GIVE AUTHOAITY TO VIOLA7E OR CANCEL THE PROVISIONS OFANY OTHER <br /> - �'�^OOF 7H/S P OPERTY TO PERFGf;11uTh.E WOFKTFCR WH�CRM1APPE/0 TCOONSSRU1ADE ANOHACOMPLYUWI�THiTHE STA7E <br /> ::-V'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> v� � � <br /> ���\� �����������'� ���� �����C�`O� FEE <br /> r ' <br /> S�;nature �� Date � <br /> E�_`GaP�acy j.2y�i �oa�a lcr� <br />