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�, ELEC�'�1CAL P'�RMIT AF �LICATION ; <br />�, CITY OF E`JERETT PERMIT SERVICES �—io-�3 I <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 EO �0 �—D �`� <br />�'/� .C�,��.,�/ <br />PROJECT ADDRESS <br />'� .,,., ,� !� ._ '�, /i �, _ <br />Owner <br />Tenant <br />Mail Address <br />M11ail Address <br />Gty <br />State2�p <br />State2ip <br />Phone <br />Fhene <br />�c�5 C�� � �liE�„�.r c _1.c� t _ /�u. ,r3c� /o,�� /� CTr{/�+r/S i r/•e-1��� 5 � <br />Electncal CoNractor lda�l Atldress Gry State2ip ,�� .�Pl�p�—�'�j, <br />�: ��;., F� - f� 3�" ��=�- � <br />�� <br />Sta�e License Number � Conirac�orc <br />f ���s,.� ��� <br />Proposed Use of Building Contact Person (P'.an Revie�v) <br />� / . <br />Description of Wurk to Be Dane: /� �/�C�"jl/G•�si[ /��j�l� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTI�IZING STATE FUNDS MUST 6E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW 'iHE STATE <br />APPROVED PLAPIS BEFORE CITY OF EVEFIETT PERMIT WILL 6E ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFIC[. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED aCCESSIBILITY: ELECTRICAL AND COMMUNICATIO�JS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUP+1 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-2D SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CEn'TIFY THAi 1 HAVE FEAD AND EYAM1iINED THIS nPPLICATION ANO KNOW THE SAM1fE TO 6E TRUE AND COFRECT ACL <br />PFOVISIONS OF L4LVS .7N0 ORDINANCES GCVEFNINu T.41S TVPE OF Y�GFK �91LL BE COhiPLEiED WHETHER SPECIFIED HEFEIN OF <br />NOT, TNE GRAN7/NG OF A PEnM1417 DOES h'Oi PFESUME 70 GIVE AUrHORI i'Y TO VIC:..iTE OF CANCEL iHE PFOVISICNS OF ANY C.TtiEn' <br />SiA7E Cn L�C4L L+IV FEuUL47ING CONS7FL'Ci ION CF rNE PEnFOFd1.4NCE OF CCNSTFUCTION. iHA7 1 Ah1 AUTHOnlZED 6Y THE <br />.;t15:'�F CF Th'IS PnCPF.4T1' TC PERFCFhI 7Ht WCFX FCn lVH1CH APF�!CAiICN ;S L1ADE .7ND 1 CO�AP�Y bVITH iHE STATc <br />C"':TF4C7CnS L4l'✓ '. ..''.�.': �df.D �;d:'CO ll'AC. <br />- � r� , i .� ..,: .' ,1�: _;1 <br />Signature <br />e��caa,a�v ��c:,i <br />��s FEE <br />Date <br />C� 3�-� - �, �� � <br />