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�✓� <br />ELECT iICAL f�ERMIT AP LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �YA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />..� � // �C'L' � t1A� � <br />�P OJECT ADORESS <br />a��. l� �E�L�Q�-n� �a�i iv���� <br />Owner <br />Mad Adtlress <br />Meil Adtlress <br />, ! AJ L [ e.1�.lR�� (,C ��} ��rl i�U � - <br />� <br />Ciry Stete;Zip P"one <br />Ciy <br />E�eCtncal Contractor Mad Address City <br />,�� �R,c� �) I � t99/ [', 7 <br />State Ucense Number <br />�� f � <br />� <br />Propused Uee ol Building <br />Oescri�tion of Wark to Be Done�, <br />StaleiZip Phono <br />tiri L(. ' � � � c y -y�i <br />Steto2ip Phonx <br />� <br />co��� P�i�aa�� — <br />�� X� ti <br />Contact Pe�son (Plen Reviewl <br />NOTE PLANS FOR ELECTRICAL WORK AT EUUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUSI BE <br />APPRCVED BV THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPRCVED PLANS BEFORE CITV GF EVERETT PERAIIT WILL BE ISSUED WAC 295-46-140. ALL OTHEr± <br />EDUC/ TIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILI_ BE REVIEWED BY THIS OFFICE. <br />NOTE: WIFING IN NON-DWELLINGS IS RE�UIRED TC BE IN R�CEWAYS, MC C'i AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND CO6'1MUNICATIONS SYSTEM RECEPTAGLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES Ofi ALONG ACCFSSIBLE ROUTES OF TRAVEL SHALL BE MOUIlTED A MINIMUM <br />OF 15 !NCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br />ENVIRONMENTPL AND OTHER CONTROL RECEPTACLE5 AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES nR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAI.L BE MOUNTED WITHIN THE REACH <br />RANGSS OF WAC 51-2G SEC. 3106(b�4 E 8 F AND NuT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />��+FFHY CEqT/FY 7H.�7 i HAVE FEAD AWD EXAMINED THIS APPLICATION AND KNOW TME SA/.7E TO BE TpUE AND CORqECT ALL <br />PAOVISIONS JF LAWS ANO OAOINANCES GOVERNING 7HI5 TYPE OF WOFK WILL BE CCMPLFTED WHETHER SPECIFIED HEFEIN OR <br />NCT. 1 NE GFANTING OF.i PEF7MIT 09F.5 NOT PRESUME 70 GIVE AUTHORI'Y 70 VIOL4TE OR CANCEL THE PRUVISIONS Or ANY OiHe'F <br />S'a rE Cp LCCAL L7 W FEGULATI�:u GOWSTAUCTION OR THE PERFORMANCF OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />CWNEF7 OF THIS F'ROPERTY T� PEF�ORM rlrE WORK FOR WHICH APPLICATfON IS MAOF AND / COMPLY WITH THE STATE <br />CONTFaCTORS LAW 18 27 FCW A�:D �96.200 WAC. <br />Z��� / <br />� �j' � <br />S�gnalure Oele <br />ELECAP!REV 825,1� <br />,F (`J �, D/ <br />FEE �, �� �,O <br />.�. <br />�'���/ <br />