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ELEC�'�ICAL PERMiT AF�`LICATION <br /> �� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STFiEET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 47.5-257-8857 <br /> � <br /> %.:� C7 c� l�(�p c,^ .�'�.�� � /�' D <br /> PROJE//C�ADDRESS <br /> 1�'/t_'c., � /` �`n *r� �'/`i G�.� <br /> _� <br /> Owner hlail Atldress City State2ip Ptone <br /> Tenanl Mail Fddress City State2ip Phone <br /> /�✓o�`��r..�j �� �� L��eC ii3a� �i.5�� �ur ��� ���ryfon V1/..�i 1F.�o2_$ <br /> Elecirical Contracini Mail Addmss Ciry ° State2ip Phone I <br /> 1t�n r ��i/r o �/�/r'; /�- 3�c (osy 7.�71' <br /> State License Number Contrect Price ol Work <br /> <_� I'1 <br /> Proposed pse of Building Contact Person (Plan Review) <br /> Description ot Work to Be Done: Q✓*�^�j *n ,.L� �y �o����'j �_„r r /�;7�t. <br /> NOTE: PLANS FOfl ELECTRICAL WORK AT EDUCATIONAL, rACILITIES UTILIZING STATE FUNDS MUS? BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH C'ARE FACILITIES PLANS WILL BE REVI[WED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAPJDICAFr'ED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN �CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MCUNTED A A9INIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIROhMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN � <br /> ACCESSI9LE SPACES OR AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 5140 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CEn^TlFY THAT 1 HAVE FEAD AND EYAhqNED THIS APPLICArICA'AND KNOW THE SAM1fE TO 9E TFUc AND COFFECL ALL <br /> PFOVISIONS QF UWS AM1'D OFDWANCFS GOVE,4;JiNG THIS r�PE OF WOFK WILL BE COAIPLETEO WHETHER SPEGFIED HEFEIN OF <br /> NOT. THE GFAN77NG OF A PEnM111T�CES NOT PFESLSLIE i C ulVE.iUTHCF.l7Y i 0 VIOL4Tc CF C.7NCEL THE PFOVISIGNS CF ANY OTNEF. <br /> STATE OF LCCAL L16V FEGUI.;7TING CONS7FUC71CN CF i!i[ ?E�FCF5IA,VCE C,� CONS i FUCTION. THAT 1 .d6f AUTHCFIZED c'Y fHE <br /> CWNER GF THIS PFOPEFTY TG PERFOFM1I THE IYCFh r'CF Lt�MICti Arr�:C:+"SfJ ;S '.fACE AND I CChiPLY WlT9 iFE S7ATE <br /> CONTRAf,'TOFSLA4V 79.27FC4VAND29fi200W4C. <br /> / ,G <br /> j',..��� //_i j v��� FEE��� <br /> � <br /> Srt�naWre Date <br /> E!ECAP(RE7 E:20dt) <br /> L L'31 Ci '-Ci � I <br />