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��. ELE�T�ICAL PERNIIT AP"LICATION <br />%� ' CITY OF EVERETT PEF�MIT SERVICES � <br />��r 3200 CEDAR STREET, EVEI3ETT, WA 98201 � o,so y-�a6 <br />425-257-8810 - FAX 425-257-8857 <br />� 31 L�., <br />PROJECT ADDRESS <br />L �- <br />� <br />L�113� ,1C�1 ['.�_,L17`i /\V� L�,Ci � i i�� �.�✓n �� �; �C, � c-f Z� �.�� J IIL � <br />Owner Mail Adtlress Ciry S4ite.2ip Phone <br />Tenant <br />MailAdtlress <br />City <br />State2ip <br />Phon� <br />�'�USCC1 FI.Ct�i.'�( II�-I�' i'L't�v�.' II_��' �H4-'-L `:iLV1'NS,v,;fi `'�s3L`�� �iZS3`l7( i��_ <br />Electricl� Contractor t,1a�l ACdress Ciry State(Zip Fnune <br />f'�c-5�:r1 i i °�1�i3C,�T"" <br />State License Num6er <br />r., i r , , <br />Proposed Use of Building <br />Descnption ol WorF; to �3e Done: t I_ � �-i 1��' I' (� L l,l i'C� R/A 1;j" <br />Centracr Pri:z ot Work <br />Contact Pers�n (Plan Review) <br />NOTE: PL,1NS FOR ELECTHICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS h4UST dE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHO'vV THE STATE <br />APPROVED Pl.i1,'JS BEFORE CITY OF EVEFETf PERMIT WILL BE ISSUED. WAC 296•46-140. ALL Oi`!ER <br />EDUCATIONAL �ACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON•DVt'ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBI.E ROUTFS OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES A60VE i'HE 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 WITHI^1 THE REACH <br />RANGES OF WAC 51 •20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CE.9TIFY THAT I HAVE FEAD AND EXAhflh'ED THIS APPLICATfON AND KNCW TNE SA�dF. TO BE TFUE AND CORRECL ALL <br />PFOVISIONS OF L7WS ANp ORDINANCES iiOVEFNWG TH1S TYPE OF WQFX WILL BE COhiPLETED WHE7HER SFEGFIEO HEFEIN OF <br />fJOT. THE GFANTING OF A P[Fhfl7 COES NOr PFESUM1fE TO GIVE AUT'HOFITY 70 VIOUTE OR CANCEL THE PROVISIONS OF ANY OTHEn <br />S+`ATE OR LCCAL L4W .4EGULiTING CONSTFUCrION OF THE PEFFORMANCE OF CGNSTAUCTION. THAT I Ahf AUTHOFlZED BY THE <br />OLNNE. �;F -%+'Ic cF'Lpch�y 70 p ^'.f "tiF LVCFK FCF WHICH APFLICATION IS hfAOE AND 1 COMPLY W;TH iHE STATE <br />�?rC, <br />.'�NT2i::`Q��i�ll�'.,�: i,CIV��.AL'.:db.�:0'�V:i�_ <br />j,..., ,'. <br />Signature <br />ELECAP(REV 2�=CJ11 <br />FEE ��� <br />S�xy . <br />