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F�. <br /> ,� <br /> ELECY . tICAL PERMIT AP �ICATION � <br /> CITY OF EVERETT PERMlT SERVICES �; <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> a <br /> 0 <br /> �2.1 N�a G� �� <br /> PROJECT ADDRE S a <br /> L � � t3(� Iz2� MQP� E'^�'�� c,.�a �-l2S���,�.57 € <br /> Owner Mail Address <br /> Ciry SlatelZtp Phone <br /> Tenant Mail Address <br /> Ciry StalelZip Phone <br /> r I ec7"r�C 22 3�i A-��w�.s E u�.t�.-�`!- .b��4��-298-�63d <br /> ��'o,s�b`� " �ity State(Lip Phone <br /> Electrical Conlractar Mail Address <br /> PR�s i� oz�t �vc� #3�ad c,� <br /> State License Number <br /> Contract Pdce of Work <br /> 5 `"`�� � `�` t y ���Q s ` �Q'^�� Contact Person (Plan Review) <br /> Proposed Usi3 of Bwlding <br /> Description of W ork to Be Dona: ��i.J� rc rt d � �F �^�"-cQ �d �� ��otc� <br /> ti 't' �a�. i.,.): r.� - <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 S��OW THE STATE <br /> EDUC�T ONA FACILBIT ES AND ALL�EALTH CARE FACILITI SI PLANS WSLLE E REV EWED BY THIS OFFI ETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT 5I WCHESSABOVE THE FLOOR. WAC 51A-20 SEC 3106(�ZTES OF 7RAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND''OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 31061h�..c & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE I7EaD AND EXAMINED THIS APPLICATION ANO !(NOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PAOVISIONS OF LA WS AND ORDINA�'CES GOVERNING THIS TYFE OF WOflK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> S�A E OR LOCALNLA W REGULATING (:ONSTRUCTION OA HE PERFORMANCE O�CONSTRUCTIOCN.L THAT�AM AUTHORIZED BYHTHE <br /> CONT ACTORS'LAW�H.27RCWAND236.200WAC.E WORK FOR WHICH APPLlCATION IS MADE AND I COMPLY WITH THE STATE <br /> F��� �- U3o <br /> Sig^��1� 0 ,� l� - S c�� F�= <br /> re Date � <br /> ELECAP�REV 8I2001) <br /> �i <br />