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ELEC�;�ICAL PERMIT A��.�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />i , � <br />%�� f2 G <U S' <br />PROJECT ADDRESS s / <br />�/G;'/'7- -'�%, ://✓� <br />Ov:ner ldail Address <br />Tenant <br />Mail Address <br />q--y-o2 <br />E' oaa4-oa <br />L: l/��G� � 7 �i//' <br />Q�•� ��i G, �S Y/�i' b, �-- f �'' ��',` ��%" L��;� <br />/fvTi`�G/'r i`"` i/c�� C'G' / <br />r�., / `� �.�/ �..� ._.�., �. /�,. `,� <br />Elacirical Coniractor MaA Address <br />� �' ��� K C� Yt /�i �J �f C'� I <br />C� C C� r <br />State License Numbrr <br />, 9 <br />r-1 -�� f :' f7C-�t,' �/ /.� ( <br />Proposed Use of Building <br />Clry <br />Ciry <br />�1 <br />City <br />State/Zip <br />Phone <br />,�LS- � �� l S "�'� <br />State2ip Phone <br />% i/ 'c- :. ., , <- � <br />�.' � <br />�Y' _�L����`'1�..c> ��� l�S�.� <br />StateiZip <br />Contract Price o( Work <br />Phone <br />f s � <br />7 ��-"C _ <br />_ /�. f,�; /��i c <br />Contacl Person (Plan Review) <br />� <br />Descriplion ol Work to Be Done: � C �'L'% /� ,�- � � / �� ��v G' ) ( ,� <br />NOTE: PLANS FOR FLECTRICAL V1�ORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS U✓ITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PL.4NS BEFOFE CI7Y OF E`1ERETT PERtv11T WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIREC TO 6E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBI�ITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEP7ACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSBLE ROUTES OF TRAVEL SHALL BE MOUPITED A MINIM�Ni <br />OF 15 INCHES A80VE THE FLOOR. WP,C 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHEF CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF 7RAVEL SHALL BE MOUNTED WITHIN THE REACH <br />R,4NGES OF WAC 51-20 SEC. 3106(b)4 E& F r1ND NOT LESS 7HAN 36 INCHES ABOVE THE FLOOR. <br />I HEFE9Y CE.4TIFY THAT I HAVE nEAD ANO E.�A,•,!INED THIS APFLICATICN AND rGVCIV 7HE SA�l1E TO HE TFUE ANO CCRFtCT. ALL <br />rROVIS10NS OF L-0WS AND ORDINANCES GCl'En',VING iH15 TYPE CF WOFK WILL SE L'OM11FLEicD WHETHEn' SPEGFlED HEn:IN CF. <br />NQT. 7Nt' Cn^ANTWG OF A PERM1Il7 OOES NO i PF. � SU ".I E TO GI !�E AUTHCFI TY 70 i9CL:Tc OF C.:NCEL THE FFOVI SIONS OF ANY OTHEA <br />5�4Tt C� _CCAL Ldll' nE3l:La i;�'u CONSTnUCTICf! OF Thc PcFFCF'.IrNCE -�i� C��'STnUCi iCN. T'nA' I A61 AUTHOF/ZED EV THc <br />C{l �- Th's rF' 'cn'}' -� -rqFOF'�� ^E �l'C4n F�n l7h'iCn AF'=L!CaTICV IS ".]aGc AND / C01.1PLY WITH THE Si.4TE <br />C.^,A r.Y iDF Il � .',-F_C'A1C_962COV:';C <br />i �i� . __. . . <br />._ � - <br />Signature <br />v <br />e! EC�a19E'i °:��.71 <br />., �',j� �..� �r � ti, . <br />Date <br />;_"'� . FEE <br />r , � �;.�-�.�� <br />