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ELE�TRICAL PERMIT �PLICATION � <br /> CITY OF EVERETT �ERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � !P�� �' f..s*...-r : �� � - <br /> /ls kx /C' �Y'� Sv- .S i L�T I Z -�,.,,- ��. -�.�s 'I <br /> PROJECT ADURESS � y t�S- �''y- ��3 , <br /> 1 ��-c3rv.� /�rr��lcs � �/��� 7� L��uc�l.ao�» ,�i7 5?n.���azb LJA r7S2�1�Z 6.�.ti-I`1� <br /> —r <br /> pwner �„�s-- �„�, �, Mai'Add�eee Ciry Slete/Zip Ptwne <br /> Tenent Mell Addresa City StatelZ�D PMna <br /> /(/W L�zn��ue�S�r����c�s�"� .oc 7�c, �r�R� / 3�--�' � � ��ra�l.JA 98253 �`l7S ScA-SC5/ <br /> Elactrical Contractar Man nddrees Ciry StetslZlO Phons <br /> State Ltcenae Number Contred Price al W ork <br /> /l�t•l� 57 (r' <br /> Prapoeed Use of Bullding Canlect Pernon �Plen Review) <br /> Descriptlon of Work to Be Done: TL ivi p . l�cn�.�3rz� rry� �r..,sT�e_�.�c��or i _ <br /> Y <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES 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. tiLL UTHER <br /> EOUCATIONAL FACILITIES AND AI.L HEALTH CARE FACILITIE3 F'LANS VVILL BE REVIEVJED BY THIS OFFICE. <br /> NOTE: WIRING IN N�JN•DWE.LLINGS IS REOUIRED TO BE IN RACEWA' " �dC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIIITY: ELECTFICAL AND COMMUNICATIONS SY,riTEM RECEPTACLES ON WALLS <br /> WITHIN ACCES518LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRPVEL SHALL BE h10UNTED A iAINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106�c�2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACIES AND OTHER OPERABIE EOUIPMENT WITHIN <br /> ACCESS�BLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIF� 7HAT / HAVE I7EAD AND EXAMINED THIS APPLICATIOh'ANO NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVIS/ONS OF L4 W i AND ORDINANCES GOVEFNING 7H/S TYPE OF WOFI( WILL BE CCMPLE7ED WHETHEA SPECIFIEO NEf1E1N OF <br /> NOT, THE GRANTING CF A PERAl/T DOES N07 GRESUAIE 1'O GIVE AUTHORI7Y rC J'OLA7E OR CANCEI THE PFOI'�SIQNS OF ANY OTHER <br /> STATE OF LOC.11 ✓11✓REGULATINfi C011'SrRUCT10N OF THF PEFFORA/ANCE OF CONS7RUCTION. THAT I AM AUTHOFIZEO BY TNE <br /> OWNER OF THIS PROPEFIY TO PERFORM THE WORH FOR WHICM IPPLICATIJN IS MAOE ANJ I COMPLY WITH THE STATF. <br /> CONTRA:TORS lAW 18.27 FCW ANJ 296.200 WAC. <br /> _ � <br /> /'. <br /> 1 FEE <br /> l r s�' / � /2-�� ��} <br /> - -- SiqneWre Daie <br />� ELECAP�REVd200�) �' G.Z.I�-' D� / <br />