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� <br /> .-� ELECT: .ICAL PERIVIIT AP� �_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ��r 3200 CEDAR STREET, EVERETI', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 117�l S /� �t,/3Vc. W GOi"�/ _ <br /> PROJECT ADDRESS !/ <br /> l�C�ffv., S Cm��iuinn� QC�. h�o.0 �G�f� Gy�,nw�( !✓/1 9D�O.JY, l ��)���5-� <br /> Owner Mail Address Ciry State2ip Phone <br /> Tenant � Mail Address City State2ip Phone <br /> 11i4�r'�N��.L F�Lr� m�� S�ly �J�`�n�� NGlfl SrLli�,n�; �,�� 9�?��8 �11s�Ii� >�, <br /> Eledrical Cantractor Mail Address Ciry State2ip Phone <br /> l�i9'/�'�-FLc7 7 mC <br /> 3���� �� <br /> St2'�License Number Contract Price of Work <br /> � i>�i �t' .�-,�, �4 /J-/�S iJ-r�.7Ge, <br /> Proposed Usz of Building Contdct Person (Plan Review) <br /> Description of Work tc Be Dane: (�/i/Lti /�L� ���'u-.u �✓� �u�v� � <br /> NOTE: PLANS FOR ELECTRICAL WORK A�f EC'UCATIONAL, FACILI7IES 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 W ILL 8E REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•D'J�lELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAPJDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUb1 <br /> CF 15 INCHES .ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br /> ENVIRONPAENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES 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 'i'H[ FLOOR. <br /> I HERE9Y CEATIF� THAT 1 N.AVE FEAD AND EXAhfINED THIS APPLlCATION APlD KNOW THF. SAME TO 8E TRUE AND CORRECL ALL <br /> PFOVIS!GNS OF L7 W5 AND ORDINANCES GOVEFNING THIS TYPE OF WORK W1LL BE COMPLETED WHETHER SPEC/FIED HEREIN OF <br /> NOT, THE uRANTING OF A PEFId17 00ES NOT Pf7ESUh1E TO GIVE AUTHORI7Y TO VIOLATE QR CANCEL LHE PFOVISIONS OF ANY OTHEF <br /> $TA7c' OF LOCAL LAW REGULATING COP;STFUCTION OR rHE PEflFORMANCE OF GONSTFUCTIDN. THAT 1 AM AUTHORIZED BY THE <br /> OWNER 0� THIS PFOPER7Y TO PERFOR1d 7HF WOFK FOR WHICH APPLlCATION IS MAOE AND I COMPLY WITH TNE STATE <br /> CONTRA('lOFS U IV iH.D FG W AND 296.200 WAC. <br /> ��� ���,�' a��� �� FEE <br /> Signawre Date <br /> _�_���P,a_,,z,2�„ �oyoa-o7q <br />