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ELECT�ICAL PERMIT AP''LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� ��'� ij .�•. : � <br />PROJECT ADDRESS <br />l , i � � f < < < . � <br />Owner <br />Tennnl <br />Mail Adtlross <br />Mail Adtlress <br />/ I" ( <br />City <br />C�ry <br />St�te�Zip <br />StaterZip <br />Phone <br />Phone <br />il l<<. : ��, � ��; a �� rt7 .�� �l l `,�i�.���vi�'�/, i.�l< <ih�'�i( �i�`� � I/���� ,� <br />Elecincal Contractor Ma�l Address C�ty State2ip J Phone <br />%��r�ll\C'1 ,I ��'�/�5�/) �. ,'v- <br />�` � �. <br />Slato License Num6ar Contract Pnce of Work <br />Pioposed Usc o� Building <br />Description oI Work to Be Done: <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT [DUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPFOVED 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 WII_L BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIFiED TO BE IN RACEWAVS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELEC7RICAL AND COMMUNICATIONS SYSTEAI fiECEPTACLES ON WALLS <br />WITHIN ACCESSI�LE SPACES OR ALONG ACCESSIBIE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 1NCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106�c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUN7ED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b�4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOF. <br />!!icr,��p � c;��Fi ;f�q` � ftq��E FEaO 4NC E.YAhIINED 'HIS 4PPLICATICN AND I(NCIY THE SAb1E r0 BE TFUE AND COFFECi ALL <br />%SC4iSrCNS �� �4�1�5 aVC OFD7NANCES �CVEFN�NG 7H15 7YPE CF WORK WILL BE COM1IPLE7f0 WHE7HEF SPECiF�ED HEREIN OF <br />vOT T�-[ 3FaN?;,4G JF 4 �EFCf1T ^CES A'CT oAESGM1�E 7C GNE aU7MOF�TV TO VIOLi7E O!i CANCEL TNE PROVISIONS OF aNY OTHER <br />9T4'[ ., "-1L _all' FE]lLa.'I.tiu �CNS'nlC71CN �F 'hE PE4FOFhIANCE JF ��NS'RUCTION 7NA71 AM1I AU7HOFl<'ED BY' THE <br />F_ <br />�'tV�,hC�+ '� -��Fc�'� 'C FPc���:M1l rhE 44CFy ��F tYHIL'H AFFL;CATICN !S M1IADE AND I GOMPLY WITH THE 5T47E <br />��":1f;.1i�'�': , �All� .. _'.e.�: iM1C..,;d_.i ll'AC <br />SignaNre <br />[_EGA��.PP': n_,iC�l <br />. ` FEE ���� <br />oeie <br />—��7 �� ��" /7� � <br />- i . <br />