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ELECT�ICAL PERMIT APf'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />, <br />.��3/ �'�fSJa�, ,_f�- <br />PROJECT ADDRESS <br />;- , i <br />- J /y 'rK - ;?_� �`C �1n:> > . ; .;% .�tr. _��,/, <br />O�vner <br />Mail Adtlress <br />City <br />State2ip <br />Phone <br />6 <br />ri.'� �,�/'. TJ 3/.�/ �'assa,., S7� �.G-e�eff /1/f 9,PZo/ -: -7/f•G�32 <br />Tenant <br />/—�O' L�:�o��i�l <br />Electrical Contractor <br />61ai1 Adtlress <br />/,'�fl �,.� <br />Pdail Address <br />/["'C� % � C _1 /(c S l_ r" <br />State License Number <br />���1�,�:�.;, r' <br />Propased Use of Building <br />Description of Work to Be Done: �� ;l, i. +.;..(i��=_� ;;_',H.; <br />'� ' i //.' <br />f.y,' .�i�l iLla.' ,� �� .. ... , ;�I! __�:�ti.G <br />Ciry <br />State2ip <br />Phone <br />,iz„� G�'r' 'l:�o,� �/?5-J;'1•9C5 � <br />Ciry Stare2ip Phone <br />�;�7V'� � <br />Contraci Pric� of Work <br />/ � � / <br />�<;_.:�til�r �,.ti't,,�:., <br />Conta6t Person (Plan Revievr) <br />C�. <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS N1UST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SNOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERtv11T WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUINED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COhiMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR A�ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE ti10UNTED A ti11NIti1UW <br />OF 15 INCNES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OFERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />R.4NGES OF WAC 57 •20 SEC. 3106(b)4 E& F AND hOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEnE9Y CE.9TIFY 7HAT I kAVF ntAO ANC EXAGIINED �HIS AFPUCAiICN AND KNCLV �'nE 5:'.hlE 70 °E TFUE AM1'D COFFECL ALL <br />PFCVISlONS OF L4WS Ah'D GFDINANCES GCVEFNlNG iHIS TYP� OF WOFK WILL EE CCS1FLdTcD WHETh'tn' SrEGr'IED HEnE1N OF <br />NOT, TNE GnANTING CF .1 PESAfI i DCES NC7' PFESUhfE TO G1VE AU i HC�I i I TO VICL4Tc CF ,;ANCE'_ THc' rACVI SICNS CF ANY OTHcR <br />STA7t OF LCCAL L411� .4EGCL4TING CONSinL'CiICN On' 7HE PE.SFCF�IIANCE G,= CONSrJCTION. THAT I:iGf .;Ui'r-ORI�EJ EY THE <br />O'�:SVr^ CF iHIS PFCFE.9TY i0 PEFFORM TNE WCFK FOF WHiCH .:FrLICAiICN IS SIADE AND I CChiPLY W1iF. TNE STATc <br />CCN'nAC i CFS L4 W; B?' n'ClV AND 2962C0 WAC. <br />y- <br />Signawre <br />Oate <br />/ FEE /� 7 l <br />ELEC?P�REV 82CG11 � �!�� _��� <br />