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ELECT riICAL PERIVIIT AP�LIC�4TIDN <br /> CIT�I O�' EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820i <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��/�5 /� �� D� �, � , <br /> PR JEC�C TT ADpRESS <br /> !' '�'t�.- �� /��9 ��:�;��. � 48'"ag! �59-r000 <br /> Ovmer Ma�l Address Ciry Slate2ip Phone <br /> C' <br /> Tenani h1ailP�dress City Stata2ip Phone �I <br /> ��0.w.�-.eJ �1 �, � FjGJ '� � (' • �ga`�Q �N25�3?a-9ay�l <br /> « �� � ,C� D. S . �,..a I.. ,..,..a l � � 4 <br /> Electrical Contractor Mail Address Ciry Stzte2ip e Phone <br /> ..� !�� t��-1 - <br /> Siete License IJumber Contrac!Price of Work <br /> Proposed Use o(Bui!ding Contact Person (Pl�n Review) <br /> �.�- <br /> Descr�olion of Work lo Ee Done: � � �� , v�e� � � <br /> NOTE: PLANS FQR ELECT(iICAL WORK AT EDI.�CATIONAL, FACILITIES UTILIZING STATE FUNDS :NUST B� <br /> AFPR'�VED BY THE STATE GF WASHINGTON. APPLICANTS WITH 5UCH JOBS MUST SHOW THE STATE <br /> APPRC�[D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE I5SUED. W.AC 296-46-140. ALL OTHER <br /> �DUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE� WIRING IN NON-DWELLINGS IS REQUIREU TO BE IN RACEWAYS, MC OR AC CABLE. <br /> i-:ANDICAPPED ACCESSIBILiTY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEFTACLES ON WALLS <br /> W�TIiIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABc�•��E THE FL.�OR. WAC 51 �20 SEC. 3106jc)2. <br /> FnIVIf10f�MtNTAL AND OTHER C;ONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRA`JEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES nF W,4C 57�2C SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREPI' CERTlFY THAT 1 HAVE F•£AD AND EXAhIINED THlS APFiICATION AND KNOIh' THE SAME TO BE TAUE AND CORRECT. ALL <br /> PRC'��SiONS OF LAI'VS AND ORDINANCES GOVERNING THIS TYPE OF WORK 4VILL BE COMPLETEO WHETHER SPECIFIED HEAEIN OR <br /> ':U7, THE'GRANTING OF A PEAh11T GOES NOT PFESUM14E TO GIVE AUTHORITY TO VICLATE OR CANCEL THE PROVIS/ONS OF ANY OTHER <br /> ST,4TE O4 LOC,4L CAIh�/7EGU:.A7?JG COIvS7FUu]ION UR THE PEFFORMANCE OF CO.NSTRUCTION. THAT l AM AL?HORIZED 8Y THE <br /> 06L1VEN OF THlS PFOPER7Y TO PERFOAhf THE V✓ORK FOR WHICH APPLICATION IS MADE AND l COMPLY WITH 7HE STATr <br /> CON7FACTORS LAIh� 18 27 RCl4'AND 296.<^00 WAQ . <br /> � <br /> / / <br /> � ' � �� _--_ � 2�(p�( FEE <br /> SiynaWre D'ata � <br /> DEBIr& CREDIT CARDS ARE NO7 ACCEPTED � , <br /> ��40 l ��:;t. <br />