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�LECT .ICAL �'�F{MIT APf" '_ICATION <br />CITY OF EVEP,ETT PERMIT SERVICCS <br />3200 (:EDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_o O ✓� �/ /�/O,�/Y �' � <br />PROJECT ADDRESS <br />l i'L-'nE s '7' //1/r?-- �l%�7L��/ <br />Owr�er <br />Tenant <br />Mail Address <br />Mait Address <br />�'C �Tj1/ � % � <br />Eleclrical Ccntracto� Mail Address <br />�"/E CL C i� U 2 Z Q/_ <br />Stale License Number <br />C�ry <br />��.�'6� <br />� /�t // L]i <br />_ ,�C.�/ y�-.� /i�/ G <br />?�oposed Use ol Building � <br />:'ascription af Work ro Be Done: <br />City <br />,�d rl S / rc.�s �-t� � ��U.�ri TC <br />State/Zip <br />Staterip <br />StatelLip <br />Contract Price ot Work <br />Phone <br />Phone <br />2S fJ��' 3���` <br />Contact Person (Plan Review) <br />- 1 oC, <br />f'hone <br />NO�'E: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITFi SUCH JOBS MUST S'rIOW THE STATE <br />APPROVED PLANS B[FORE CITY OF EVERETT PERMIT WILL BE ISSU'=D. WAC 296-4G-140. ALL OTHER <br />EDUC.4TIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOT�: WIRIiJG IN NON-DWELLINGS IS REpUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 75 INCHES ABOVE THE FLOOFi. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMEN.TAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3706(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREPY CERTIFY 7HAr I HAVE READ AAlD EXAMINED THIS .7PPLICATION AND KNCW THE SAME TO BE TFU� AND COARECL ALL <br />PFOVISIONS OF L7 WS AND OFDINANCES GOVEFNING THIS IYPE OF WORK WILL BE GOMPLETEO WHETHER BPEGFIED HEREIN OF <br />NOT, THE GFANiING OF A PEFMI r DOES NOr PFESUAfE TO GIVE AUTNOFITY TO VIOLr17E OR CANCEL THE PROVISIONS OFANY O iNER <br />STA7E OR LCCAL CAW f7EGULATING CONS7FUCTIOA' OR THE PERFOFh14NCE OF CONSTqUC710N. 7HAT I AM AUTHOqIZED 6Y THE <br />OWNER OF THIS PFOPEFrY TO PERFOFM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WlTH THL STATE <br />CONTAACTOFS L7W '8.27 FCW AND 296.200 WAC. <br />�l <br />Da�e <br />�� FEE ..� °� <br />��.� <br />ELECFa(�EV 82 W t � <br />L' O,�O `7 Z' 2, �' <br />