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ELEC". .31CAL PERMIT AF _ �LICATION <br /> CITY OF EVERETT PER1491T SERViCES <br /> � 3200 CEDAR S i REET, EVERETT, VVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> C� � _ <br /> � �:: r ;��� �� a '' � 1� 5 �1,1 ',>1 , _ �' �� <br /> PROJECT ADDRESS � � —{— <br /> -� r � � c �� 33�I- l`�:;� <br /> I � l i','� I ' i ' ' 'r' � I 1 IF' �"I'Y� � I � �'�' —1-� 1,15�i'l,l �t c�' �l ( �,� � I , �1.;l; <br /> Owner 61ai1 AUdress City —% Slate2ip Phone <br /> � ��L aC (_RI �� l"�; <br /> Tenan� � ail Address C�Iy � Siate2ip P17Grye�— _ <br /> ` ' 'C 't ��i �11 � � i 11�1 l� �' � ��i�(��+C U��il a ��I� � v � � ��= ` , _�i � �3-, ,� <br /> � <br /> �<� f IF: � (' ' I >,11� � � � � I � ' I �.� ��� 1�- �,( ' � � �,, <br /> Electricall�onlractor �dail F�ddress Cn Siaie2ip Rwno <br /> , J � ��� � �(C� l �� � <br /> c ��'� �-'C=`� I I I��, I � �� . . <br /> Slale License Number Coniract Price-of Work <br /> �, � � <br /> � ' ��1.�1 � �1\i l � <br /> �,��'.�l .111 ?';r;( ��� <br /> Proposed Use ol Building CoNar.l Person (Plan Reviea�) <br /> �� / � / <br /> Descr�tionolWoiktoBeJon6�� � � �I � �� ��� � � �' �� �� � � — ��� '« � ��� � � ���'� � <br /> � �' _ <br /> i � � , IH�. I � � �1�;'� � 1 � (�'���� �_, 'I �` , r� .���jB�C `�>�- ����� I' � � - � <br /> i <br /> j � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATION�L, FACILITIES UTIUZING STATE FUNDS h1UST BE <br /> APPROVED BY THE STATE OF WASHINGTUN. APPLICANiS WITH SUCH JOBS MUST SFIOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLA�JS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO EC IN RACENIAYS, MC OR AC CABLE. <br /> NANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIPI ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A h11NIMUh1 <br /> i Of- 15 INCHES ABOVE THE FLOOF. WAC 51-20 SEC. 3106(c)2. <br /> ENVIROPlMENTAL AND bTHER CONTFOL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITFiIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE HOUTES OF TRAVEL SHALL 8E MOUNTED VJITHIN THE REA:;H <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F ANU NOT LESS THAN 3G INCNES ABOVE THE FL70F. <br /> I 11EREB1' CEA7IFY THd 1' I HAVE f7EAD AND E.YAM1fINF_D THIS APPLICATION.AND HNOW 7HE SAM1'E TO 9E TFUE AND CO�RECT ALL <br /> PFOV1510N5 OF LALYS AND ORDINANCES GOVERNING THIS TYPE OF IVOFK IVILL BE COAIPLETED 1YNETHER 5.°ECIFIED HEFEIN OR <br /> NCT, iHE GRANTING OF A FEFhfIT OOES NOT PqE5Uh1F_ 70 GIY[AUTHORiTY TO 6'IOL4 TE OR CANCEL 7f IE�ROVISIONS OF AK}'OTHEF <br /> S7ATE OR LOCAL L714 REGUL/iTING CON.S7FUCi7('N Cf; iHE F'E�FO�l�4:'CE Oi- CC�VSTRUCTICN THAT I Ahf AUTHCn^iZED BY THE <br /> OttNER OF THIS PRCPERTV TO PERFORM1I iH: Vl'C��k FOF V1HIC!I :tFFU��t11CN IS A14CE APlD I CO�•7��Y Vt97H THE �TA7E <br /> C[,`NTRACTOHS LALV IH 27 RC4Y AND e"?6200 WAC <br /> I `� <br /> � � ' 1 1'���, ` )� <br /> I � �l� � /�l � �l l� � ' � ._��J FEE � I i) � �� _ <br /> Signalurc Dale <br /> ELECFP�RE�:'2'2CJI) � � ���� ���� <br />