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ELEC�RICAL PERMIT AF'�LICATIQN <br /> CITY OF EVERETT PEqMIT SERVICES <br /> 3200 CEDAR STREET, EVEqETT, yyq gg2p1 <br /> 425-257-8810 - FAX 425-257-8857 <br /> hn � <br /> PROJECT ADDRESS <br /> Nb � - � QS (�{�G�� <br /> Owner � MaiIACOress ��,� <br /> Star�ip ��� <br /> Tendnt � Mail Address <br /> L}�Y� �Kcf��� Co� C'ry StalelZip Phone <br /> � - ��� i4� srsu�-L�nn U�4 98�� �425) �74l�(�13 <br /> Electrical Contractor Mail AdOress <br /> ���C�O�I`� Stab/(Z�'ip Phone <br /> State license Numher ) � I v ' � <br /> Contract Pnce af Work — <br /> Proposed Use of Building <br /> Contact Person (Plan Review) <br /> Description ol Work to Be Done: � I y � <br /> NOTE: PLANS FOR ELECTRICAL IVORK AT EDUCATIONAL, FA..�LITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF VYASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW TIiE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-74C. AI_L OTHER <br /> EDUCATION,4L FACILITIES AND ALL HEALTH CARE FACI�ITIES PLANS WILL BE REVIEWED BY THIS OF�FICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNiCATIONS S'.'STEM RECEPTACLES OIV WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E �v10UNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES �R ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THt REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOCR. <br /> ! HEFF9Y CEATlFY THAT! HAVE qEAD AND EXAMINED THIS APPC�CAT/C V AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> NOTVTF.'E Gn'�riNG OF A P_�MI DOES NO PRESUME r0 G/VEPAU7HOFci Y TO'VIOL4 E OR CANCEL THE PROVISIONS OF ANY OTFIER <br /> S i Ai c' CF LQCAL L4 bY FEGULATl,YG CONSTFUCT/ON OR THE PEFFORMANCE OF CONSTqUCTION. THAT I qM AU7HORfZED BY THE <br /> OWNEA OF rH15 PFOPFAiY TO PERFOFM rHE WOFK FOR WHICH APp�/CA770N /S MADE AND I COMPLY WITH ThE STATE <br /> CCNTFAC70/Ac1,qly7g.27RCWAND 96.200 WAC. <br /> � / ,i c%��'�!C�(/ <br /> i <br /> I .�� L� ! �n Z- FEE <br /> Signature � Date� <br /> ELELAP(REY8�7001) L, GLGy .()(�kj <br />