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E�EC� �ICAL PERMIT AF 'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Cll�/ —%O--Cf'Tj'� �4 � h /it. G� ti� <br />PROJECT ADDRESS <br />,C v'�r,c '7' � fio � s�yy �� r.Uo.t� rv 3l C� ��'o �. ,6Y ,�!/tx�7'; k/'� <br />Owner Mail Address Ciry State2ip Phone <br />Tenant � Mail Atldress City State2ip %.z S^ 6Plfone �� � <br />�l ,C ,G���'C ?'�l � �U�� �U /3a� l/�!` �c �G�.7/uo �� ��GOf' <br />Mail Address <br />�/L�/ C �- ��2 CJi� <br />Siate License Number <br />%7� r5�/OC it/ % / � L <br />Proposed Use of Building <br />City <br />State2ip <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />� <br />Description ol Work [o Be Done: /l � L'✓� /�F �sl��U C' L <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS ��1UST SHOW THE STATE <br />APPROVED PLANS BEFOFiE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACII.ITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED 8Y THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS RE�UlRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HHNDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITNIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 75 INCFiES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL 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. 3106(b)4 E& F P.ND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I NERE9Y CE.RTIFY THAT l HAVE READ ANO EXAMINED THIS APPLICATlON AND KNGbV THE SAME TO BE TFUE AND CORFECL ALL <br />FFOVISIONS OF L7 WS AND OFDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLE7ED WHETHER SPEGIF/ED HEfiEIN OR <br />NOT, THE GRANTING CF A PEHMl7 OOES NOT PFESU7dE TO GIVE AUTNORITY TO '/IOLA'fE OR CANCEL THE PROVISIONS OFANY OrHER <br />STAi c CR LCCAL LAW FEGULATING CONSinUCTION OR THE PERFORhIANCE OF GONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />Ol15VEn^ OF �HIS PFiOPEnTY TO P�P..�ORM TNE WOFY FOR WHICH APFLICATlON IS MAOE AND 1 COMPLY W/TH THE STATE <br />CCNTFACTOF.S L4W 1827 FCW AND 296.200 WAC. <br />.� <br />�L' <br />Signature <br />Date <br />ELECFP(REV 8'�6J1) � �J;Z�--(�S % <br />FEE <br />