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� ELE� TRICAL PE�iMIT �,.�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ��Tr 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 57�9 Si�I/TI-f 19U <br /> PROJECT ADDRESS CyLs� <br /> _D' D� y P��lZcx.c=u�z-, 9Bz6 7'��vv�,� s� 9R� .. sf- 9�r3 <br /> Owner Mail Adtlress CiN <br /> StatelZip Phone <br /> Gi�9122P <br /> TenaM - Mail Atltlress Ciry State/Zip Phone <br /> �'l�'�i� SKS�i�-is .��fi �'ZO�/�iR���.�l�R�r.t�� EL4'�t.e� c,c,�-, 9,r'1v3 �.�5—IY6a <br /> Electncal CoMractor Matl ACdress �ty State2ip Phona <br /> -� n!G D7Z .��G� � <br /> State License Number Contract Pnce of Wodc <br /> yL,$- <br /> �ac c t�'�� -1� � � '�� '.LZ�It�-i L,��Is S � 1 �6a <br /> Proposed Use of BuJdmg Contact Person (Plan Review) <br /> Descnption of Work to Be Done: __ ��f�jU �"'cLJU S/G>> o �'t�C�� 5�� f cJL� <br /> r G-TZ [[:r�(� . <br /> � � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 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 CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR AIONG ACCESSIBLE FiOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 IIVCHES ABOVE THE FLOOR. WAC 51-20 SEC. 310S(c)2. <br /> ENVIRONMENTA� AND OTHER CONTROL RECEPTACf.ES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WIiHIN THE FEAC!� <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FY THAT l HRVE FEAD AND EYAM11/NED 7HIS APP!1CATION AND KNOW THE SAME TO BE TFUE AND CORRECL ALL <br /> PFOVIS/0N5 OF LAWS AND ORDINANCES GOVEFNING 7NIS TYPE OF WORK WILL BE COMPLETcD WHETHER SPEGFIED HERE/N OF <br /> �JOT, THE GRANTING OF A PEFMl7 DOES NOT PRESUh1E i O GNE AUTHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> S7ATE OF LOCAL UW FEGUL7TING CONStFUCi lON OR THE PEFFORMANCE OF CONSTFUCTIGN THqT!AM AUTHORIZED BY THE <br /> OWfJER OF THIS PROPEFTY TO ?EFFORM iHE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRAC70FS LI W 78.27 FCbV ANO 296.200 WAC. <br /> �"`" "v I Zl7/� FEE Q�� <br /> � Signature � <br /> Dete <br /> EIECAP�REV82W1� � �� I� ` U� / <br /> V <br />