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IZ —�� —G ' <br /> ELE�TRICAL PERMIT tir�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> !/�%/J_ � /`f" /�./-' � �i�' <br /> PROJECT ADDRESS � <br /> F��»�-✓ i� //'/D-' �S/-�.�' �� T Li`c=/'c� %/>/� ���'c'� C,L <br /> Owner � Mail Address City Sta,e2ip Phone <br /> Tenan! 61ai1 Adtlress Ciry State2ip Phone <br /> /. / l�--i�?<'-S'r-kei,� <br /> �Tl�/rY llE=�"Tl'i S��i ��✓��� v,P iL�2` 7�1CD�v,n GUfJ ��z <br /> Eleclrical Contraclor htail Address Ciry State2ip Pnone <br /> ^ �-r .-, nz <br /> �`m/ � � ��1' ("�f�%/7� - <br /> Slate License Number Contract 'nce of Work <br /> /Cf�•'/C/�?'1�A/ ���i'!�/ /•��t� /?i�/L�/C�"� _ <br /> Proposed Use of Buildin� Contact Person��Plan Review) <br /> Descripticn of Work to Be Done; , ���i �p7-� c�l' �r u///� '�i <br /> l�/' 7_�= ! �'�:-� �,G <br /> � <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 ti1UST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHFR <br /> EDUCATIOIJAL FACILITIES AND ALL HEALTH CARE FACILITI�S PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUPlICATIONS SYSTEM RECEPT.4CLE5 ON WALLS <br /> VVITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A ti11NIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> i ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TFAVEL SHALL BE i140UNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE rLOOR. <br /> 1 HEREBY CER'fIFY THAT 1 HAVE FEAD AND EXAh?INED THIS APPLICATION AND KNObV THE SAfdE 7J BE TFUE Ah'D CORReCT ALL <br /> PFOVISIONS OF L7WS AND OFDINANCES GOVEANING THIS TYPE OF WOFK WILL BE COh1PLETED WHEiHER SPECIFIED HE�7EIN OR <br /> NOT. 7HE GRANTING OF A PERMIT DOES NCT PRESUAIE 7'O GIVf AUTHORI7Y TO VIOWTE OR CAA'CEL i HE PFOVISlONS OF ANY OTHER <br /> STATE OF LOCAL L7W REGU4171NG CCNSTFUCTION CR T'HE PEFFOFM1IANCE CF CONSTFUC710N. THA7'1 4M AUTHORIZED BV THE <br /> OWNEF OF THIS PFOPERTY TO PEFFORM11 7HE WORK FGR WHICH APPLICATION IS h1ADE AND I COfdPLY IVITH THE SiATE <br /> CONTFACTORS G1W 78.27 RCW AND�9d.200 WAC. <br /> 7 � /,� <br /> FEE <br /> �,�"o�z`'.'' � ,�" � . <br /> `T__� <br /> � SlgnaWro �-..� �� /'� Dato <br /> DEBIT&CREbIT CARDS ARE NOT ACCEPTED ��j 3, � � - U 3.� <br />