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'..fi" <br /> � ELEC � RICAL P�RNfiIT A�r�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I 1 ��% I' �.i,Y/��I I C 1^�.P I,( 1 C,v'� V.,�t�y <br /> � P(ROJECT QDRESS �� \5 . � ��� �-{ 5 �1,6�y`j�I 6 <br /> V-o£ �'�.L.�!'/` ' �C��JC � �dU�V� `� cl �1 Z - <br /> Owner Mail Address City StatelLip Phone <br /> `7_ae;�Sa✓' �`la� �c,✓'r��l [.6' �Dhl� �a� �� fl�L'� l� �1`�z03 4aS S�� -•1�� <br /> Tenant � Mail Address City State2ip Phone <br /> Sv.,.�- `�„� ���, `6z`�r So `.�.�, , � ��IN�I :Zul� 3�,w-�o'f�J <br /> Electrical Contraclor Mail Address Ciry Slate/Zip Phone <br /> .�T� � ^ � /5 e�,v <br /> � <br /> �te cense N mbe� G� j1 Contract Pnceof Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Descripticn ol Wark to Be Done: --f—r'� ��c��� L`�� �'�� "��V 1 ��� ""�"'� � � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCAT ONAL FACIUTIE9 AND ALL HOEALTH CARE FACILITI SI PLANS WSLLE E R VAEW ED BY THIS OFFI�THER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE F�OOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N06 b)4CE 8 FI AND NOT LESS THAN 36LINCHES ABOV�EUTHE �OOR�N THE REACH <br /> ! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAh/E TO BE TRUE AND COAFECT. ALL <br /> PFOVISIONS OF L4 WS AND OFDINANCES GOVEANING THIS TYPE OF WORK lh'ILL BE COfv!PLETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GAANTINCa OF A PERMIT DOES NOT PRESUME TO GIVE A(ITHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> OWNER�OF�THIS PROPERTY TO PER�ORMUTNE�WORKTFOREWHI�CH'APPLIC TIONNSSFAADE AND ACOMPLYUWITH'ZTHE ST.1TE <br /> CONTRACTORS LAW iB.?7 FCW AND 296200 WAC. <br /> ���VV.J� J ��II�I �Z_ FEE <br /> ignature ate C �ZG�_��.� <br /> ELECAP(REV 82001� <br />