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� <br />�� <br />ELECT. _ICAL PERMIT AP� _ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982Q1 <br />425-257-88 i 0 - FAX 425-257-8857 <br />c y y ��; �;��,^- S j <br />PROJECT ADDRESS <br />q -i�--oz <br />C-oao9-�%3� <br />/ l/�"7L �% 7 G'r/ �'3 ,��/ E�L c„- i� T l�U c> S �,�� ,�� i i'�� /r� -r�. <br />Owner <br />Tenant <br />j�� E <br />Elecirical Cor <br />Mail Adtlress <br />Mail Adtlress' <br />� � ��l � `G�, <br />Mail Address <br />�3�c� C�' �- v? z� r� <br />State License Number <br />ciry <br />City <br />�� y //, <br />City <br />StatelLip <br />Phone <br />StatelLip Phone <br />�ZccU�C �v.� �lzr�ro�' 3`"S <br />S!ate2ip <br />CoNract Price of Work <br />� <br />�t'l'"/T���Zi'l /�� , <br />Proposed Use ot Building Ccntact Person (Plan Revie•.v) <br />Description of Work to Be Done: _��' (N� �,(�;t- ' <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST F3E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF [VERETT PERMIT WILL BE ISSUED. �NAC 296•46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLAN3 WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW E�LINGS IS REQUIRED 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 TFAVEL SHAl1 BE A10UNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106�c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT N!�TNIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TN� REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I 464c5Y CERTIFY THAT I HAVE AEAD AND EXAh11NED THIS 4PPLICATlON AND KNCW THE SAh1E i0 BE TRUE AND COFFEGT ALL <br />PFJ67SIONS OF Li WS AND OFDINANCES GOVEFNING THIS '1'PE OF WCFK �VILL (3E COhiPLETED WHETYcn SPEGFIED HEFEIN O(! <br />^!C.'. THE GFANTING UF A FEF.M1IIT DOES NOT' PFESU6fE TO GIVE AUTHCFI i}' TO V1CL7 i E OR CANCEL 7HE ��FOVISICNS OF ANY OT'HFA <br />57�4 � c CF LCCAL L-0L'J FEGUL.7TING CONSTFUC7"ION OF THE PFFFOFM1IA�l'CE OF CCNSTFL'CTION. THA�f I APA.4UTHOAIZED BY T iE <br />OtPNEn' CF LH/S PFCPERT}' TO PEFFOFM1f THE WOFK FOR WHICH AP.�'JCAI70N !S MADE AND I COM1iP�.Y WI'fH THE STf7c <br />CCM"n,:;; � Cn^S L4 W id27 FCW ANO 296.200 LVAC. <br />m <br />Date <br />�_� FEE --� � cn% <br />�. <br />� <br />ELECAF!n"EV c PCJ7) {!���� <br />(- --�` J 7'� 2 <br />� (;� "yC, ' i ; � 7 <br />