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ELECT� .ICAL PERMIT APF �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� _(� U� <br />425-257-8810 - FAX 425-257-8857 C �� /D`��� <br />� -7c� 2. p� � �f-- .n� , <br />PROJECT ADDRESS <br />G 2� �-1 a,� e� i'. I �,���� <br />Owner <br />Tenant <br />Mail Adtlress <br />hlail Address <br />Ciry <br />Ciry <br />State2ip <br />State2ip <br />Phone <br />Phone <br />,y?i,uM.� ss �� y��'� 4rs�. SHo�ion�',s� r,v�- %d�z96 �fzs33U 9�5�� <br />Electrical ConlraCtor Mail Address Ciry Slate,Zip Phone <br />N�-w�a,••e� �—�7 9/3wl <br />State License Number <br />�� <br />Proposed Use of Building <br />Description of Wark to Be Done: <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />W � <br />NOTE: PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF !^�ASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE Cil r OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-1a0. 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 IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN /`,CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUti1 <br />OF 15 INCHES ABOVE THE F�OOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRON(v1ENTAL 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!-E.REBY CERTIFY THAT 1 HAVE FEAD AND EXAM1IINED THIS APPGC.ITlON AN� KNOW THE SA61E TO BE TFUE AND COFFECL ALL <br />FAOVISIONS OF L4LVS AND ORDINANCES GOVEFNING THIS TYPE OF WCFK WILL 6E C061PLETED lh'HETNER SPECIFIED HEnEIN OF <br />NOr, iHE GFANTING OF A PEnM111T DOE$ NOT PFESUh1E TO GIVE AUTHOFIII' TO VICLdTE OF CANCEL THE PFOVISfONS OF ANY OTNE.4 <br />STa7c' OF LCCr1L L7W FEGUL4TING CONSTFUCTION OR rNE PEFFOFh1ANCE OF CONS7FUCTION. THAT I AAf AUTHOFIZED 8Y THE <br />c.1:,VEF OF TNIS PRCPERTY 70 PEFFOFbI THE WOFK FOF WHlCH APPLlCA710N IS M1IAOE AND 1 COM1IPLY WITH THE STATE <br />CJ,V; n.,CTOFS L4LV 192,' FCW AND.9d.£00 bVAC. <br />/� <br />r% <br />Signalure <br />�� <br />Date <br />FEE �� � <br />ELEC.�PIFEV9,2C0�� ���� —�/��� <br />