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%� <br />ELEC�r:�ICAL PERMIT AF _�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />qa2 �-���s� , <br />� ,.� �s/�_����P1/w��� �.f,�/ /=���%���� <br />PRGIC�'y�o�f 1=��� 3l0/ C� l=,�e,� �-r� �lo/ �L�zr7- <br />Owner Mail Atldress � <br />CiN Sta�elZiP Phone <br />Tenant <br />Mail Adtlress <br />Mail Address <br />Y�a r- w�. G JL n� <br />State License Number K�, f� �� <br />riti l,cJ T1 � � <br />Proposed Use of Building <br />[iescriptiun of N/ork to Be Done: <br />Ciy <br />Ciry <br />Steta2ip <br />State2lp <br />`?S'�. l�/� <br />Contract Pnce of Wo <br />Phone <br />Phone <br />�a rr ,TP�'I c�i� lip 2 %�a✓rna-�1 <br />Cantact Person (Plan view) �/�J <br />.0, � �1.�,�,-. ., �� <br />NOTE: PLAN; FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPHOVED 3Y THE STATE OF WASIiINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVcD PL<VS BEFORE CITY OF EVEREII' PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HE,4LTH CARE FACILITlES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DWELLINGS IS REOUIRED TO BE IN FACEWAYS, MC OR AC CABLE. <br />HANDICAPPEO ACCESSIBILITY: E�ECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES OP: �;.4LLS <br />WITHIN ACCESSIBLE SPACES OF ALOiVG ACCESSIBLE ROUTES OF TRAVEI SHALL BE MOUNTED A I,�INIMi�M <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2, <br />ENVIFONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT ��ITHIN <br />ACCESSIBLE SPACES OR ALONG ACCL"SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE RE,4CIi <br />RAN �ES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEHEHY CERTIFY TNAT 1 HAVE REAO AND E'.YAM.INED THIS APPLICATION A,ND <br />PFOVISlONS OF U1WS AA'D ORDINANCES GOYEf?NING TNfS TYPE OF WOAK WI <br />NOT, TI1E GRANTING CF A PEFIdI r DOES Nfi � P RE!SUME TO GIVE AUTHORITY TO � <br />STA7E OR LOCAL u7W nEGULATING CC.NSTFL'C�fION OR THE PERFORMANCE C <br />OWNER OF THIS PFCpERTY TO PEFFOFM iHE WORK FOR WHICM APPL/G <br />CONTRAC70RS L4W 18.27 FCW AND 296 200 N'AC. <br />0 <br />Signnture <br />ELECAP(qEV 8�?p01 � <br />C�1i <br />MADE <br />= TO HE TRUE AlJD CORRECT. ALL <br />D WNETHER SPECIFIEO .4EREIN OR <br />'EL THE PROVISIONS OF ANY OTHER <br />V. THAT I qM AU7HORIZcD BY THE <br />AND 1 COMPLY WITH THE STATE <br />�I D FEE �� j G <br />Dete <br />�C,�'GS-�ISG� <br />