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i <br /> ELEC � .�ICAL PERMIT AP�� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 18��1 ���, � , / / tq <br /> PRWECT ADDRES / ff Q,/_Q�/� �� �' �f�JZ�� / <br /> Ct4i5 ���i'e���O3c� lc� f� �wl� ' —'�� z <br /> Owner <br /> r � Mail adtlress Cily Sut�2W P� <br /> I � Ciry Slate2ip Phona <br /> Ten-a/nt Mail Addrees <br /> N//4 DW Y�✓ �;�, sut✓ra �. <br /> Electrical Contrectar Ma�i Aoareas <br /> �� <br /> Stete Licenae Num6er <br /> Contract Prica of Work <br /> Proposed Use of Building Co�tect Person (Plan Re�iew) <br /> Descripti of Work ta Be Done: /�/��✓ ����Ce� Z���� L�� c �'�-���� <br /> .�' P /� C �` �� <br /> r <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED PLANS BEFO E CTY�OF E ER�ETT PERMTAWILL BEHSSUED.J WAC 296-46-H40. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE 1N RACE�NAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COI��MUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I NCHES ABOVE THECFLOOR.AW C 51A-20 SEC 3106(j2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND`�OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.9N06 b)4 E 8 FI A D NOT LESS THAN 36 INCHES ABO EUTHE�Lppq IN THE REACH <br /> I HEREBY CERTIFY 7HAT 1 HAVE READ ANO EXAMINED THIS APPLICATiON AND KNOW THE SAME TO BE TRUE ANO CORHECT. ALL <br /> PROVISIONS OF U1UVS AN� ORDINANCES GOVEANING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> S�A E OR LOC.ILNLA�'YFREGUUITINC�CONSTA C ON OH THE PERFOFMANCE O�CO STHUC OCN.�THAT�M AUT}K�H�ZED BYTMP.+E <br /> CONTRACTORS'LAW�8.27RCWAND296200WAC.E �RK FOH WHICH APPLICATION IS MADE ANO 1 COMFLY W�711 7HE S7ATE <br /> 1 �1^ /�,.(`�' � f .�..(/ �O I FEE <br /> U G' <br /> oignawre � Date <br /> ELECAP(REV 82001) / �//U �Oa-C� <br />