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�, ELECT �ICAL PERMIT AP' LICATION i <br /> � � , CITY OF E��ERETT PERMIT SERVICFS <br /> 3200 CEDAR STREEI', EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ J <br /> � �����I � � �� /��i �.4.� [�'r -) 7 <br /> PROJECT ADDRESS <br /> �r �>.,. <br /> / �%. . � `����-��� �j�%j_ ) �� =. � - <br /> I-� �� ;1� r sC�,��� /'ca'�,�.� � y",�,;:�� o. i?r'! (l / !_r�„�, c_�, � ( ,��. ,� „� <br /> / • <br /> Owner Mail Address City St:�le2io Phone <br /> Tenant Mail Address City S:atr�;p Phone <br /> l.'�;1-/v'i(( 1Ir c:i�;'i�= : i /�/ �� ``/,�jc ,cir l/�' >/l: c�"ic.,c G:.> � `irls' :� �/1� ��s 76�' _ <br /> ElectriCal Conlraclor Mail Address Ciry State2ip Pnone <br /> - - h � �.�, <br /> �1i`� j:.,L'r i_�- ; i i'•"��F- 'c'L'�'< <br /> State License Number Contrect Price of Work <br /> � <br /> ;,:,. rr J-�,-„,�', �� ,, - „ ��: <br /> Proposed Use ot Building " Contact Person (Plan Re�^ew) <br /> -1 ., <br /> Description of Work to Be Done: Cv�! 1�-�Y� /�,��i., tv !"�L�l�S L -c-C�!) S � .;'� �C.r'- <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES I;TILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW TI-IE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. AL� OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WIL� BE REVIEWED BY THIS dFFICF. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTA.CLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE P✓rjUNTED A MINIMUM <br />' OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> i <br /> i ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES ON A�ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED 'Ni7HIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & �= AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREHI' CERTIFY THAT 1 HAVE FEAD ANO EXAhIINED THIS APPLICATION AND KNOLY THE SAME TO BE TFUE APlD COFFECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING 7HIS TYPE OF WCFK WILL FE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GFANTING OF A PEFPdIT DOES N07 PFESUME r0 GIVE AUTHCRI i Y TO VICLi T'E OR CANCEL THc PROVISIONS OF 4NY OTHER <br /> S7A7E OR LCCAL L:1W FEGULATING CCNSTFUC710f! OR rHE PEFFOFhiP.NCE OF CONS7FUCTION. THAT 1 AM AU7HOFIZEO BY THE <br /> OWNC-.4 OF THIS PFOPER71' TO PERFORM TNE WOFK FOR bVHICH APPLICATiON IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORSLiLY7&.2�FC4YAND296.200WAC. <br /> / , /, <br /> �/,.i,��`/ ��{ � ' � "' — L' ,� FEE <br /> �. , � � " <br /> v <br /> SignaNre �ate <br /> �jJ <br /> e�ecaP�aeva.2ea�) �� � , <br /> ���; �._ -�.; <br />