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JAN-21-00 FR[ 12�02 PY EVERETT PERntT SERU[CES FAX N0. 425 257 8857 P. Ol <br /> � <br /> � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITYOFEYERETT <br /> BU/LD/NG D/V/S/ON <br /> J200 CEOAR 3TREET <br /> EVEqETT, WA DQ?Of <br /> (4TSJ?57-BB 10 <br /> � ��1 �,ri IiU-�> I(� i latj= � f v�/�`E� <br /> PROJECT ADDRESS <br /> L�Ci�.�� ` � i •, '�4�a (` I� -„r� 'ifu,� n� ,�i�b, c q l <br /> �+wner MallAddrcss �iry I t Iq �.� �� �( � $��} <br /> SlalelLp P�one <br /> - Il� <br /> Tanant Meil Addns6 <br /> �M' Slate2ip Phon� <br /> �� � l ,r� J <br /> _U✓1R � ��.` 2 ��-1� .l' � L Ut'1 c' J���Z !J <br /> EIaCMCalContractof Md7Addiess UW- � �-/Z(/ <br /> Cily Stalelttp Phorw <br /> � � QL �� z !� � � <br /> State License Numbor � ��•J� <br /> Contr�ct Prlce of Work <br /> 11"l;: 1i A I �►�,� <br /> rroposea Use of Bwlding <br /> Contac[person (Plan Review) �` <br /> �escription o(Work fa Be Dono: �' <br /> z �1- 1 , �, -� � � �� �r� ,� � `� ,�a� <br /> , �— <br /> NOTE: PLqNS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIL�TIES UTILIZtNG STATE FUNDS MUST BE <br /> APpROVED BY THE STATE OF WqSHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WqC 296•46-140. ALL OTHER <br /> ,EDUCATIONqL FACILITIES AND ALL HEALTH Cq{�E FACIIITIES P11�N5 WILL BE REVIEWED BY THIS OFFICE, <br /> NOTE: WIRING IN NON-DWELLINGS IS REpUIRED 70 BE IN RACEWAYS, MC OR AC CABLE, <br /> HANbICAPPEp ACCESSIBILI7Y: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHA�L BE MOUNTED A MINIMUM <br /> OF 15 INCFiES ABOVE THE FLOOR. WAC 51-20 SEC.31 p6(c)2. <br /> ENVIRONMENTAL AND O7HER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SpqCES OR ALONG ACCESSIBLE ROUTES OF 7RAVEL SHALL 8E MOUNTED WITHIN THE REACH <br /> RANGES OF WqC 51-20 SEC. 3106(b)4 E 3 F AND NOT LESS THAN 36 INCHES A60VE THE FLOOR. <br /> f HEREBY CERTIFY Tl{AT I HAVE REAO ANO fXAM/NEp THIS qpP(,/�qTION ANO KNOW 7HE SAME 70 BE TRUE AND CORReCL AL: <br /> PROVISIONS Of LAWS AND ORDINANCES GOVERNING iNIS TYPE OFWORK W7LL BE COMPLETED WHETHER SPECIFlED HEREIN OR NOT <br /> ORE OCA�LAW REGUfJ�lN/G CONS RUCT OH RE NE PERFOR�NCE OP CONST�UC�ONNTHAT�AM A�NORlZED 9Y f�O�ER OF <br /> THIS PROFERTY TO PERFORM THB WORK POA W}I�CF{qpp��CATlON IS,MAOE AND I COMPLY WfTH iHE STAIE CONTRAC70RS L4W 1R,2) <br /> RCW AND 296.20J WA C, <br /> ��g � � �� �� �� � �" �—���I��C•_� FEE <br /> SI nalure I/��. c/ <br /> 4i' Oata �� � �D <br /> ��w� EfJ3��{-1l G <br />