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EL�C'RICAL RERMiT A^ PL.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� i �-- <br />f� / ;L:/�. S 7- i <br />PROJECT ADDRESS <br />,� l/ G�=' t- ; I �� C% S � �c. f' j�z�`� /`/O�c_ l%�- <br />Owner Mail Adtlress City StatelLip Phone <br />Tenant � MailAddress City Sta[e2ip�z5`"(7��p�9� <br />%s / � %/ , � / �c `?//'� �-' �U/'�' � G f'�%'` �l S'� I�cGGc.'���/E� �r/ia- <br />Elecirical Contractor Mail Address Ciry StatelZip Phone <br />/5i��/_ C-�` �2�' 4ry,� <br />Stale License Number <br />��,�l�7L'� _ �_, <br />Proposed Use of Building <br />Contract Price of Work <br />�ip�-; .�'��-� <br />Contact Person (Plan Review) <br />� <br />Description ot Work to Be Done: � C l�✓� � f� ��/ S�//'�-� -�i %�'�l�G�'i/T-C <br />�toors�-r� I <br />NOTE: PLANS � OR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />AP�'ROVED 8Y THE STATE OF WASHINGTON. APPLICANiS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHEFi <br />EDUCATIONAL FACILITIES AND ALL HFALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEh1 RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPAC:ES OR ALONG ACCESSIBLE ROUTES OF TRAVEL °HALL BE MOUNTED ,4 MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51•�0 SEC. 3106(c)2. <br />ENVIRONh1ENTAL AND OTHER CONTROL FiECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 5!-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I NEFE9Y CERTIFY THAT ! NAVE FEdO AND EXAM1IINED THIS AFPLICATION AND KNOW ThIE SAME TO BE TRUc ANO CORRECT ALL <br />PFOVISIONS OF L.iWS AND OFDINnNCES GOVEANING THIS TYPE OF WOFK WILL BE COMPLEiED WHETHER SPEGFIED HEflEIN OR <br />NOT, 7HE GRANTING OF A PEFM1IIT OOES NOr PFESUM1fE TO c91VE AUTHORITY TO VIOU i E OR CANCEL THE PFOVISIONS OF ANY OTHER <br />SrA7E CF LCCAL L-0W FEGUL-071NG CONSTFUCTION CF THE PEFFORh1ANCE OF CGNSTF'JCTION. THAT ! AM AUTHORIZED BY 7HE <br />011'NEF CF THIS PFOPEnrY" iC PEFFOFP.} 7HE WOrK W� 4VH!CH APPLICATION IS MADE AND I COMPLY bY17H 7HE STATE <br />CO�' i RqC70FS G7ll' i6._7 F.C:V AND 2Jo.�CO LVAJ. <br />� - � � % . : ,i � -- �� <br />, i � '2 .� _� . " C - . ; �i 6 L <br />,� �Signature /� �ate <br />ELECAPIFEV &�2[� q <br />FEE � <br />GDZG7-G7Z <br />