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F�pr,?3 14 G2 07p P.3 <br /> ELECTk1CAL PERMIT AP ICATION <br /> C1TY OF EVERETT PERMtT SERVICES <br /> 3200 CEDAR STREE7, E�ERETT, WA 9820� i <br /> II 42b-257-8810 - FAX 425-257-8857 �f —� ��f I <br /> �_ '1 7 � <br /> ����C( ..(�� <br /> �� 1 �D `��` t� <br /> P OJECTADp RESS y`� �S � <br /> �i l I t t i �YY►GYt �� i �G�'''� �a�`�J�"� 1 �l� �'i£s� I ya �! <br /> OWf18.' fd3•I n:dfH55 CA'/ SI(it�i�] Ph:NlO <br /> Tonant ar�.:.ddruss 1 ✓�J C�t7 Slatil'p PhonQ, c _ <br /> �-�rovv, )-��a;l-�+,c�' � i �- ��_a <br /> � �' `� �i�i� 1�'1 Q,�'u�v� i 1.1Y'� Gt��-7� �-+.. �,o .�-� <br /> Eipr;tricaf Co^;r�ctor GIaJ:.Adres; Ci�J -,�+' Slata/Z:p Phora <br /> /�.1��� Gt�1� �'l ''T /6(� <br /> State License Nu�nber Ccntr2-t Fn�e of Work <br /> S� ►-� a l -�Q.�u�E.�,� JCi.Jv✓� ,�tN'r��-trtz11/1� <br /> 'roposey Us of 3u��.lding Contact Po�son I°lan Reviaw� <br /> D�script,o�o"!.'ork tc 9e�or,a: �hf 1� V V �� �J��� <br /> KOTE� FLANS FOR ELECTRICAL V�ORK AT EDUCATION�L, FACILITIES UTI!IZING STATE FUNDS S1UST BE <br /> APPROVED BY THE STAT� OF WASHING�ON. APPUCANTS l^/ITH SUCH JOf3S h1UST SHOVJ TN� STATE <br /> APPFOVED PLi,PlS BEFORc CIT'! CF [VEREIT PERMIT WILL BL= ISSUED. WAC 296-76-1<0. ALL OTHE? <br /> EDUCATIONAL FACIUTI�S 11N0 A�L HEALTH CARE rACILITIES PLANS VJILL BE RE`JIE�VED BY THIS OFFICE. <br /> NOTE W IRING IN NON•DYJELLINGS IS REG'UIRED TO BE IN RACE�NAYS, MC OR AC CABLE. <br /> !-yANDICAPPED ACGESSIDIUTY: ['_ECTPICAL i�PJ� COtiiMUNICATIONS SYSTEM RECEPTACLES ON �'J.ALIS <br /> W ITHIh ACCESSIBLE SPACcS OFi ALONG ACCESSIBL� ROUTES OF TRAVEL S�ALL 9E MOUNTED A 4d:NRv1UM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-2C SEC. 3106;c)2. <br /> EhJVIRpNh^G^JTAI_ AND OTHER CONTFOL P.ECEPTA�LES ANG OTHER O��RAoLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR AL�NG ACCESSI6LE ROUTES �JF TRAVEL SHALL BE MOUNT[D WITHIN TH= R=ACH <br /> RANGES OF �VAC 51-20 SEC 3106(b)4 E & F AND NOT LE55 THAN 36 INCHES A6OVE T',ic FLOGP. <br /> 1 .4ERL-HY �EF7IFY' 7HAT 1 H4VE R&1D AA'G Ea'AA'.INEU Th1S AFPLICATION A�dD X�JCW THE S�N� TO fE iRUc ARC CCnFEC7 ALL <br /> ?nOYISiCNS OF 1A19S 4A'D OR�Ih'ANCES GGVEn�N�NG i?:IS Tl'PE CF 'NOfiA ViILL 9E CCS�PLcTED 1YNF7Hcfl Si'=i.IFIcG HERcIN OR <br /> NOr, TNE GRANTINO OFA PEFMl7GQcS NCT PRf5L7AE TO uIVE AUTNOF77Y TO VlOLATE GR Gri�1'CEL i HE Pn^OVfSiONS JFANY OTHER <br /> Si.<TE OR LOCAL LAYJ REGUL4TLVG .�.Oh'STRUCTlON OA THE YERFOFI+D7�J=E OF CONSTRUC�ION THA7l Ahf AV7HORIZGD BY i}+'E <br /> pLtS��EA OF THIS ?R�^..°fnTY TC FEFFOn1d THE '.YORn FCR bl�NfCH APPUCA710N IS A'IACc AND 1 GOMPLY Y!7iN THE S7ATE <br /> COA'i F,r1CTCFS 41 iY 7 4 27 FG4 ANL 2A 700 VY,:C. <br /> n <br /> � — y'�� � FEE (�/1 VI� <br /> ✓V <br /> Signawro OaW <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � I L{ v y _ I l I <br /> _ . - �. . �_ � :.�.� „--s�,v.�,._:�,.:.w. .....-�.., . ._- ___ <br /> -:�— - .___. ,. ._..� .�.. .. .. <br />