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� <br />ELECTF'CAL PERMIT APP' ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAY.425-257-8857 <br />�'�-D �} 5�.. �1w-s-� l�J <br />PROJECT ADDRESS <br />Owner <br />c�- <br />Tenant <br />Mail Adtlress <br />htail Address <br />{ �n <br />hlail Address <br />GL►: c_.T ��-1 l Gl3 i4 <br />State License Number <br />�� NI`L� l�Q, ��W� � <br />Proposed Use of Building � <br />Ciry <br />City <br />State2ip <br />State2ip <br />_ Z�- <br />Phone <br />Phone <br />�'z5-(o� Z-��`i �- <br />City � Stato2ip Phano <br />�' � �I � b �'`. <br />Conxact Pnce of Work <br />�11f V ' 1 �I �'JdS �v� <br />Contact Persoo (P an Review) <br />Descrlption of Work to Be Done: ���(�Z''�ll /,�J,p i �j 71"-t^-}i� �h�YV�L,u=Q lJ�w J ���_ <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE 0� 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 AN� ALL HEALTH CARE FACILITIES PLANS bVILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON•DV✓ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANn��APPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIOPJS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRON�v1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SFACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HERE9Y CE.RTIF1' THAT I kAVE FEAD AND EXAM11INED rHIS APPLlCATION AN� KNOW i HE SAME TO 6E TFUE AAD COFFECT ALL <br />FFOVISIONS OF L�7LN5 AND OF�INANCES GOVEFNING THIS TYPE CF WCFK WILL BE COMPLETED INHETHER SPEClFIED HEFEIN OF <br />1JOT, 7HE GRANTING OF A PEnMIT CCES NOT PFESU1dE i O GIVE AUTHL'FITY TO VIOLi 7E OR CANCEL THE PFOVISIONS OF ANY OTHEA <br />STATE OR ICCAL L7W FEGULATING CCNSinUCTION OF 7HE PEFFOF6fANCE CF CON57FUCT(ON. THAT 1 Ah1 AUTNOFIZED 6Y TFiE <br />OV✓NE.4 OF THIS PFOPEFTY 70 PEnFOFh1 7HE WCFK FC:4 bVH1CN APFLICATICN IS h1ADE AND I COMPLY WITH TNE S7A7E <br />CCNi RACTCFS LAW 18.$7fiCW AND 2962CO IVAC. <br />Ii � C�� FEE <br />�ate <br />ELEC,IP�PE:' 9'2�u11 <br />�a5�5-�, <br />