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ELECT��ICAL PERMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 93� /��Dk. <br /> PROJECT ADDRESS <br /> Bob Fi��,v/r/�/ y9,�� U,P� �I�P i=,�p�Ti' G�/� �>as asa-S7v� <br /> Owne� Mail Atldress Ciry State2ip Phone <br /> Tenanl Mail Address Ciry Slate2ip Phone <br /> O�,itlP_iP 5'9.7/ L/'ei�i ,�/� /=dPrQ ii 9F�C� y.2:f- ,�.Sa-f 797 <br /> Eledrical CoNractor Mail Aetlress Ciry State2ip Phone <br /> State License Number CoNract Pnce ol Work <br /> Sh'.�� /E�ia d` 23 XY f'�i;'ii, �,�_G/����.�-/ao,�; ,��z, �,�b 1�.+�k/-� _ <br /> Prop sed Use oi Building Contact Person (Plan Review) <br /> . <br /> DescriptionofWorktoBeDone: [�/,/'� �;�/ �'�l.;�� a�7/pjS ��✓ /6 �C/li �� � /1C'A,eP�. _ <br /> ��.���� <br /> r <br /> U�:R� (n_ r� :�'�is 7 a.�7��is .i � �x Y �n n�ll�;i.'�,�/, <br /> Al✓�p,� C�� CL/P!_'�i,�%s �S'� .� o i9.�.o • ,� /S A�,,� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES Ul'ILIZING STATE FUNDS MUST BE <br /> APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS VJITH SUCH JOBS Ml.'ST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. AL� OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARF. FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: Wii�ING IN NUN-DWELLINGS IS REOUIREJ TO BE IN RACEWAYS, h1C OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACUcS ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNT�D A MIIJIMUM <br /> OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND��OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT W!T�ti� <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNT�D WITHIN THE FEACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE F�OOfi. <br /> 1 HEFEBY CEFTIFY THAT 1 HAVE FEAD AND EXAM1IINED THIS APPLICATION AND KNON THE SAME TO BE 7RUE AND COFFECL ALL <br /> PFOVISIONS OF L4WS AND ORDINANCES GOVEFMNG tHIS TYPE OF WOFK IYILI BE COMPLETED WHETHER SPEClFIED HEREM bR <br /> NOT, THE GFANTLVG OF A PEFMIT DOES NOT PNESUME TO GIVE AUTHOFIIY TO VICL4TE OF CANCE� THE PFOVISIONS OF ANY 07h.ER <br /> STATE OR LOCAL L7LV FEGUWTING CONSTFUC710N OR THE PFFFOFMANCE OF CONSThUCTION. THAi I Ahf AUTHJFIZED 6Y iHE <br /> OWNfR OF THIS PFOPERTY TO PEFFOFM THE WOFK FOF WNICN APFLICATICN IS MADE ANI� i COMFLY WItH THF STA7E <br /> CONTFACTORSL4W/82:FClNAN0296200WAC. <br />_ ��l 'D'�(% <br /> f�y�J � �� FEE <br /> ��d � <br /> Signature Dete <br /> ELECAP�FEV 6:Np <br />