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�� " . I <br /> ELEC�'��AL PERMIT APP�CA�ION <br /> CITY OF EVERETT PERMIT SERVIC;ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8957 <br /> /, � O .L� �/a �•� S' /,S t� A? � � <br /> P,R/�OJECT AODRESS C. S � � <br /> /"[�A ti /T"nht b�d� 0 /'( C �VQ� e) (� �.�/"n � C?i. ! �t��/ �°,r'Q�f� <br /> Owner 1.1a11 Address City State/Zip Phone <br /> �,G�' � � � a �^J��•• .s�' `��„�f'.,,� w� 5 8 �u! � <br /> Tenant Mail Address Ciry State/Zip Phone <br /> (�/�'1 S Q� 0 I C.J�r// `w S �-� t��•ta {� lr� � �1 �10 f Z. <br /> Electrical Contraclor Mail Address City StaJte2ip Phone <br /> VNZVF /`+ S O / �/4'Q _ J�� O • , ea <br /> State License Num6er Coniract Price of iNork <br /> .s'u t .�'1 C G �f* C �' '' M <br /> Proposed Uea of Building Contact Person (Plan Reviee+) <br /> � Description of Work ro Be Done: �. ��t v e r r 4 e. c h�1//f(. � O 'v7"�O L S _ <br /> NOTE PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCf-I JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> �DUCATIONAL F�,CIL;TIES AND ALL HEALTH CARE FACI!_ITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NOf`I-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR ,4C CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEh1 FECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHA�_L BE MOUNTED A MINIMUh4 <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERA�LE EQUIPMENT WITHIN <br /> ACC�SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES Or TRAVEL SHALL 8E MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)�1 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I <br /> I ! HERE3V CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW THE SAPdE TO BE T'RUE ANO COFFECT. ALL <br /> FnOVlSIGNS OF U1WS AND OFDI.NANCES GOVERNING THIS TYPE OF :VOFK WILL BE COMPLETFD lNHE7HER SPEClFIE� HEn'EIN OR <br /> iJOT, 7HE GRANI'ING OF A PEFMIT DOES NOT PRtSUhfE TO GNE AUTHOFITY TO V1041TE OF CANCEL THE PFOVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFOFh1ANCE OF CONSTFiUC'ION. THAT 1 AM AUTNORIZED AY i HE <br /> OIVNEF OF THIS PROPEFTY TO PERFOFM THE WCFK FOR LYhICH APPLICATlON IS M1i-0DE AND 1 COhiPLY WITH 7"HE STATE <br /> CON7P.ACTORSL7W 182,'FCbVAND295.2001VAC. <br /> �LI� Q FEE <br /> L <br /> 5��9nature ���� <br /> D BIT&CREDIT CARDS ARE NOT P,CCEPTED <br /> � �� <br /> - �,�;� �-� <br /> i/�. - _ <br /> ( <br />