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�� <br />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 />\19c, ; �� ��.. �:�T ��� '� �� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Meil Addre55 <br />Mail Address <br />Ci�y <br />Cily <br />StateRip <br />518�e2ip <br />7 <br />Phone <br />Phane <br />� �� �(�ai-Q `-tar �3��-1LcX)O <br />�nt111t ���\C�iRic �Ilt r-�l\� `����,%k� �1[ �-� �i-�v <br />Electrical Coniractor Mail Atldress City Stnte2ip Phone <br />��rRIJ�L T`l-I�,��v�L^' - <br />State License Number <br />� � �— ��. <br />Proposed Use ol Building <br />,1l-�ilq\(� �,� `;� 2 <br />Descriplion al Work lo Ee Done: V�. `•, < k= V\uu`�.�. v_� ,J� i �-,�' <br />�CJL�Gi ��'t� <br />Contract Price of Work <br />�—,�rvo V��v.w�` <br />Contact Person (Plan Review) <br />< <br />NOTE: PLANS FOR ELECTRICAL WOHK AT EDUCATIONAL, 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 FACILITIFS PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HF.NDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIGNS SYSTEM RECEPTACLES ON V�ALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. �NAC 51-20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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)d E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />i HEFE9Y CE+7IFv 7HA7 I h�AVE FE4C 4ND E.YAM1IINED THIS APPLICq71pN AND KNOW THE SAME TO BE TRUE AND CGRFECT ALL <br />PFOV157CN5 CF LA�L'S 4NJ ORDINANCES GCVFFNING TH/S 7YPE OF WCRK IVILL BE CO61PLE7ED WHETHEF SPECIFIED HEFEIN OR <br />NCT. rHF GF.IN7'ING OF 4 PEFh117 DOES NOT �GESUME 'C �31VE 4U'HCFITY TO b'IOL4 7E CR CAh'CEL 7HE �fiOV1510NS OF ANY OTHER <br />STA7E CR LCC�iL L:1W FEGULATING CONS7FL.: `IGV JF 'HF PEFFCRAf4NCE JF CpNS'FUCTION. TrfAT I.4M AUTHCHIZEO BY THE <br />CWNEA OF 7HIS PFOPERTY 70 PERFORId 7�+E wOFk' FJF IYHtCN aPPUCATICN iS h14CE AND I CCMPLY WITH THE STATE <br />CONTRACTOR51�7LY iH2'RCWAND296..00 tl'.t�. <br />\\n?��L�.._� �i�—_\^—; .V�l��� ��� � V � <br />SignaWre �ete <br />[LECAPIREV B�".00�1 <br />� <br />FEE <br />