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ELECT�ZICAL PERMIT APPLICA,�ION <br />CITY OF EVEI2ETT PERNfIT SERVICES <br />32Q0 CEDAR STREET, EVERETT, l�lA 98201 <br />425-257-8b10 - FAX 425-257-8857 <br />; - a9-o y <br />�0 4�9-13 <br />vwner mau ��wmss ��ry o�amiup r��-,��v <br />Tenant <br />��� Q 1�'�l � - <br />fdailAddress <br />Ci�y <br />SlatelZip Phonc <br />a ��rs� y <br />,�� � �s, <br />si�i�rz�u �,��� <br />`T2/-1 ✓ (� F_-f"3/ 5�- /-1 <br />Slate License Number Conlracl Pcce of Work <br />� � � ��,:.Y i i � ��Q�� 4�S <br />Pmposed Use of Suilding � CoNazt Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICA� WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS ML'ST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITIi SUCH JOBS MUST SFiOW THE STAT� <br />F�PPROVED PLANS BEFORE CITY O� EV[RETT °ERMIT WILL BE ISSUED. WAC 296-A6-14C. ALL OTHER <br />cDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL t?= REVIEVYED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />IiANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />VJITHIN ACCESSIBLE SPACES OR ALCNG f.CCESSIBI F ROUTES OF TRl�VEL SHALL BE MOUNTED A MINIMUM <br />OF 15 IPJCHES AdOVE THE FLOOR. W�C 51-20 SEC. 310G(c)2. <br />ENVIRCNP.4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHrR OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED WITHIN TH� REACI i <br />RANGES OF WAC 51-^<0 SEC. 3106(b)4 E& � AND NOT LESS THAN 36 INCHES ABOVE � HE FLOOR. <br />1 HEREBY CERTIfY i4AT I HAVE RC-�D AND EXlh11NE0 THIS APPLICAT/ON AND KNOW THE SAME 1'O BE TRUE AND CORRECT ALL <br />PROVISIOf,�S OF LARS AND OR�INPh'CES GOVC-RNING TFfIS TYPE OF WORK NILL BE COMPLETED WHE'MER SPECIFIED HERE/N OR NOT, <br />T HE GRAN iING OF A PERMIT DOES NCT i-ftESUhf[ TO GNET.UTNORI7Y T0 VIOLATE OH CANCEL THF PROVISIONS OF ANY O7HER S7ATE <br />GR LOCAL l.AW RE�JLATING CONSTRUCTI�N OR THE PC-RFORGiANCE OF CONS.'RUC il0"1 71 fAT I AI,1 AUTHORlZEO BY YHE OWNER OF <br />TNIS PROPEP,TI' TO PERFORfd TNE WORti FO� lb'NICi! r1PPllGA7lOfJ IS h1ADE AND 7 CO!,iP� v IYiTH 7HE STATF_ CONTRAC70RS LA4V 1827 <br />�-.C�S' APID 296.20D WAC. <br />� � _ : �,�. — '� .� � / ' Z <br />`J��� ,, A._ �U. �.� - <br />Sig aturo � Det�� <br />� <br />._.._,.��RE'/C'i"v0•� �. J <br />FEE��LI �}�'� <br />/ <br />�C�Gi-(.3J' <br />