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�, ELEC�'�ICAL PERMIT AF+�'LICATION <br />�M✓"' CITY OF EV�d�ETT PERMIT SERVIC�S <br />'�' 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5810 - FAX 425-257-8857 <br />�/, � <br />, � �. � � / � �� � <br />� �% C. , � % � V�' Vr- ;--1 i ' �.� � ��%�" � �/ <br />PROJECT ADDRESS � <br />1 ��.� �. , ' /��/i �� <br />Owner <br />�.J� . .' � �. <br />Tenant <br />r rrr <br />Mail Adtlre,s <br />�� I '17' �- <br />Mail Address <br />�t"C'/��f"li'r � �� <br />Mail Address <br />.i � j / � �t � J v � ,. , i �l, �. <br />State License Number <br />City <br />City <br />i�j�'"� <br />` � � �'- <br />City <br />� <br />l�; u� r /fi; <br />Proposed Use of Building <br />i <br />II, <br />Descriplion of Work to Be Done: .� )�• '� �� l I I �! ��- �� �'� �i' � <br />- 1 , -�( �1 ,- �, . . � ��1 I� � �; � li r: � � � ! �� ri r <br />State2ip <br />State2ip <br />! r <br />��nei;a� � �, `�G,;�, <br />Phen2 <br />Phone <br />State2ip Phone <br />� �v <br />Contract Price of W ork <br />—JI�E� (f� �1�:P�VY��` <br />ContactPerson (Plan Review) <br />�.�; �<t'„�-r '�,-�;; vs <br />% , .- � <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZI�VG STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANT:; WITH SUCH J03S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-ta0. ALL OTHER <br />EDUCATIONAL F.4CILITIES AND ALL HEALTH CARE FACILITIES PU{NS WILL BE REJIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS �S RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />fiANDICAPPED ACCESSIBILITY� ELECTRICAL AND COMMUNICATIONS SYSTcM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 370o'(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THF REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)d E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CEFTIFY THAT 1 HAVE READ AND EXAh11PJED 7HIS APPLICA710N AND KNOW THE SAPdE TO BE TFUE AND COFRECT. ALL <br />PROVISIONS OF L.4LVS AND ORDINANCES GOVEFNING rHIS TYPE OF WCFK WILL BE COM11PLcTeO WHETHER SPEGFIED HEREiN OR <br />fJOT, THE GRANTING CF A PEAMIT DOES NOT PFESL7.fE r0 C•IVE Al,'T'rlCnl i Y i O VICL77E OF CANCE� rHE PFOVISIONS OF ANY O i HEA <br />S7ATE OR LOCA! LALY FEGULiTING CONSTnUC�('CfJ OA TH_' PEFFOF.IdANCE CF �ONSTnL'CTICN. THA7 I AP.1 AUi h'ORl2ED BY THE <br />CtNNER OF THIS PROPERTY 70 PEFFORhf 7h'E IVLFK �OF 4VHICh APPr ICATIC.'.V IS M1fACt ;71JD I CCM1IFLY V�';TH YHE S7liT� <br />C� '1T.RACTOFS ( AlV 1827 FCW AND 296.e"00 VCAC. <br />u <br />Signature <br />�' . / �' <br />Datz <br />��" FEE <br />E"cCAPIREV Bi200t) � D JrD <br />C� -Ofn 3' <br />