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LECTRICAL PERMIT APPLICATION <br />CITY G� EVERETT PERMIT SER��.;ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />92�i y�� �-�r�. �. <br />PROJECT ADDRESS !{ Z, s_ <br />ti3� <br />o�.r�Gnv� Pco�e�T�eS ��.5 100``� S'r SE $�EC-Z EJ�C� 4g73 <br />Owner <br />Mail ACtlress <br />Ciry <br />Sta[PJZip <br />Phona <br />Tenanl � hlail ACtlress Clry State2p Phcne <br />�{Z� -�S7S <br />Sn�ko+-��s�. Cl.e�c-,c Pc3ex 'Zl`S S�ohor.i5'�.. t,.l R-, �l �Z� I �7�Y <br />Eiectrical Contractor h1a�i ACaress C�ry State2p Phone <br />S''���0E= IICP�,.1 <br />State �cense Numoer <br />J F� <br />Prcposed Use ot Building <br />Comract Pnce ot Work <br />Contact Person (Plan Review) <br />Oescnption of `Nork to Be �one: E �. e C� �� C+F �o U�t� -t-T'@. ��.-1 <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCdTIONAL. FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVEREI"T PERMIT WILL BE ISSUED. WAC 296-46-740. ALL OTHER <br />EDUCA710NAL FACILITIES AND ALL HEr1LTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING Ih NON•UWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE F�OOR. WAC 51-20 SEC. 3106jc)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABI.E EOUIPMENT VJITHIN <br />ACCESSIBLE SPACES CR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& P ANU NOT LESS THA�J 36 INCHES ABOVE THE FLOOR. <br />1 HEFE5Y CE.STIFY T!-!A i I HAVE FEAD AND EXAhlLVED i HIS APPUC.iilGV AND KNCW i HE SAME r0 BE rFL'E AND CCFFECi. ALL <br />P.9CVlSICNS OF L7 WS 4ND CFCINANCES uOVEFNLVG iH15 7YPE CF WCFK iVILL 8E CCM1iPLEi ED bYHETHEA SPELlF1E0 HEnE6V CR <br />�\'O i, 7!-iE GRANTING OF A PEnhtir;.^,CEs ,VOT PFESU�NE i O GIVE AUi HCFI i Y i0 VICL1 i c CR CANCEL RiE PFOV151CN5 CF ANY 07hc.4 <br />SiAic CR LCCAC LiIV FEGUL4TlNG CCNSinI,'CiIC,V CR iHE PEnFOFh1ANCE CF CCNS7nUCTlCN. THqi I AM AUTh'CFIZED BY TNE <br />CWNEA CF 77ti15 PFCP�.4iY TO PEn'FCF,lf iHE WCFK FCR WHICH APF!ICAtlCN IS MACE AND 1 CGMP!Y WITN iNE SiAic <br />CONTnACTCFS L7W � 8.27 ACiV ANO 2562C0 tYAC. <br />Slgnatcra Caie <br />FEE �-s a � <br />rLECAPIFF! d/::01� ������� � <br />