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ELECTFL.�AL PERMIT APP .ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9�201 <br />425-257-8810 - FAX 425-257-8857 <br />, <br />������ ���i,��)� � �t <br />PROJECT , DRESS . <br />� s _L� �«�. � �!-�; � .=��,: ��,r, n(r�<<r;� � � � <br />Owner <br />Tenanl <br />t �. , <br />Eleclrical <br />A1ail Addiess <br />f/ � <br />�C . <br />hl�il Address <br />N• ,,�iQnd�, �55 <br />�:�� y;C: �T_ 113�1:� <br />Slate License Mumber <br />�'�������r�Er�i��� <br />Pieposed Use al Building <br />Oescriplion ol Work ta Be Do�e: <br />City <br />Ciiy <br />City <br />siaierip <br />Sl;fle2ip <br />Slale/lip <br />�- ,-;,- <br />Pi,a�,a <br />Phone <br />F''� Q � <br />� r�,o�,� <br />�,���IO .(1C <br />Co Iract Piice ol Work <br />1�I\�\l 1 N`V I r' __ <br />Cantacl Ferson (ptan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCl1TIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPf�OVED BY TfiE STATE OF WASfIINGTOIJ. IIPPUCAMTS W�TH SUCH JO�S MUST SHOW THE STATE <br />APPFiOVED PLANS BEFOFiE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. /1l_L OTHER <br />EDUCATIONAL FACILITIES AND �LL HEALTH CARE F�CILITIES PU1NS WILL �E REVIEWED BY TIiIS OPFICE. <br />NOTE: WIRING IN NUN-DWELLINGS IS FEOUIRED TO BE IN RACEWAYS, MC OR AC C118LE. <br />II�NDIC�PPED ACCESSIBIUTY: ELEGTRICAL �ND COMMUMICATIONS SYSTEM FlECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPl10ES OR ALONG /1CCESSIBLE ROUTES OF TRAVEL SHIILL BE MOUNTED /1 MINIMUM <br />OP 15 RJCHES ABUVE TI IE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONti1ENTAL AND 'OTHEFl CON7R0� RECEPTACLES APJD OiIIER OPERABLE EDUIPMENT WITHIN <br />ACCESSIBLE SPACES OR 11LONG ACCESSIBLE ROUTES OF TRAVEL SII�LI BE h10UNTED WITHIN THE REACH <br />RANGES OF WAC 51•20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCIIES ABOVE THE FLOOR. <br />I HEREBY CFfifIFY TNdT 1 IfAVE RE.4D .IND EYAM1IINFD iHIS APFLICATION AND KNON iHE SAM1IE TU BE TRUE AND COI;AECT. ALL <br />PROVISICNS OF LA{VS AN� OliDIN�1NCES GOVERNING fHIS TYPE OF IYORK LVILL BE C061PLE7ED IVHETHER SPECIFIEO I!EAEIN OR <br />NOT, iHE GRANiING OF A FECM1fI i DOES NOT FRESUM1fE TO GIVE AUTHORIIY TO VIOLATE OR CANCEL Tf IE FROVISIONS OF ANYOT7IER <br />STATE OR LOCAL fAIV FEGULATfNG CONSiF!�CTICN O/; iHE PERFOlih1ANCE CF CONSil7UCTICN. iIIAT I Ahf AUTNORIZED BY THE <br />O�TNER OF THIS PRCFERTq TO CERFO(7M1f (NE IYCRK FOR LVHICN APFLICATION IS AfAOE AND 1 COh1PLY R7TH 7HE STATE <br />CONTR.AC IOFiS L4 tY 18 27 RCIV �1 ND 2?6 2C0 LYA C. <br />I�� J� � �a��,� <br />s��na�u�e � <br />ELECAP�RFV 82CV�) <br />�- <br />ento <br />_ � (�, FEE �.j�J ��i <br />�o�cz-a9 <br />