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09/14/2607 09:18 4253538934 EVERGREEN SECURITY PAGE 02/02 <br /> ELECTkICAL PERMIT APP�ICATIQN <br /> CITY O� EVERETT PERMIT SERVICES y �� y_o 7 <br /> 3200 CEDAR S7REET, EVEFiE?T, WA 98201 �b 7�� <br /> 425-257-8810 - FAX 425-257•8857 <br /> 2�1�.1��N1/� <br /> PROJECt ADDRESS <br /> Own@r Man Address C�ry SlateTD Phone <br /> �VtXZ� t0 S ��m( <br /> ?enant Meil Add�ess C��y Staie2lv Phone <br /> �veYar.�n S�r_�r�}u g i� 1�c+�d , Sac ioi �v���t- Wt9-g� �s-�q�-;r�a <br /> eclrlcal .onlr9clor M.� Cly Slaln.4�p Phoni <br /> �'VEO�,, 11a1,�. � Q!I D.S �= <br /> SIa1a Llcenae Number ConVact P�ice ol work <br /> COm �'V 1�.�'�'�c.Q ��Ysa��'r� n <br /> Proposed Usa al Bullding Conlacl Person len Foview)�- <br /> Doecripllon of Work lo Be Done: ,���(�(��� �V� �, (� � V�1 N <br /> NOTE: PIANS FOR ELECTRICAI WORK Al' EDUCATIONAL, FACILITIES UTI�IZING STATE FUN05 MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W17H SUCH JOBS MUST SHOW THE STATE <br /> APPROVE� PLANS BEFORE CITv O� EVERE77 PEFiMI? WILL BE ISSUEO. WAC 296-46•140. ALL OrHER <br /> EbUCATIONAL FAC�UTIES AND AL�HEALTH CARE FACILITIES PI,ANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NUN-DWEILINGS IS REOUIRED r0 9E IN RACEWAYS, MG aR AC CABLE. <br /> FiANDICAPPED ACCESSIBILITY: ELEC?RICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVE� SHALL 8E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE F�OOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND'-OTHER CONTROI RECEPTACLES ANd OTHER OPERABI.E EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBIE ROU7ES OF TRAVEL SHALL 6E MOUNTED WITHIN THE REACH <br /> RANGES OF'WAC 51-20 SEC. 3106(b)4 E 3 F AND NOT LE55 THAN 36 INCHES ABOVE THE FlOOR. <br /> I fiEAEBY CERTIFY THA1'I lfAVE FEAD AND EYAMINED i717S APPLICAiION ANO KNOW THE SAA/E TO BE TRUE ANO CORREGT. ALL <br /> PAOVISlONS OF Li1W5 ANO OROINANCES GOVERNING TMIS rYPE Of WOAK WILC BE CORfPLETED WNETHER SPECIFIE�NEFEIN OR <br /> MOT. THE GRANI7NG OF A FEFMIT DOES NOT PRESUA!E i0 GiVE AUhiOR1TY TO VIOUTE OR CANCEL THE PROVISIONS OF ANYOTHER <br /> STATE OR LOCAL UW REGUNTfNG CONSTRUCT1pN OR iME PERFORM1UNCE OF CONSTqUCT10N. TNAT I AM AUTNON�ZEd 9Y 7NE <br /> OLL'NEA OF TH1S FAOPERIY TO PEFFORM �'�E LVORK FOR WHICM APPLICATlON IS MADE ANO I COMPLY WITH THE STATE <br /> GONi'RAC70FSL4W 1B27RCLYAND296.200WAC. <br /> �,h� G{� ��tl1LL ���D1� FEE <br /> Slp a re Oale <br /> ELECAP�FEV B/2C01� •���-G%� <br />