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� <br />ELE�TRICAL PERMIT Q `PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />? 2�-� � I? D'�" 5-r S. � _ <br />PROJECT ADDRESS <br />�i�i1-IZFZ�r ���N� � ZL� `�Ztlr` S� `�F -�VCf1�TT �-U� ���,�'3 <br />Owner <br />Tenant <br />Mall Adtltess <br />Mell Address <br />J,�,ti���.<<t� ELec���.c., zz�,°ts <br />Electrical Coniractor Mail Atldress <br />a � c � c1 �1`i52 Q2 <br />State License Num6er <br />l� c -: � � 1x �+�-E <br />Propcsed Usa ol Building <br />Ciry <br />Ciry <br />�sr�v �2 � <br />City <br />Sta�e2ip <br />State2ip <br />l�iZ�t � <br />Stxte2lp <br />Phone <br />Phone <br />����� `('� Y. <br />� �� 5D0���, <br />Contra t Pnce of Work <br />`0,���n�� L�c4D C�lzs)-1��4 izi+ <br />Contect Person (Plan Review) <br />n <br />Descriplion of Work to Be Done: �� � Y? � rJ C- pf Ze s-,�t� Nt i tiL }{n �l{ <br />NOTE: PLANS FOR ELECTRICAL WURK AT [DUCATIONAL. FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTO'V. APPLICANTS WITH SUCH J08S 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 WILL 8E REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABIE. <br />HANDICAPPED ACCE.r,SIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECE°TACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES C1R ALOPlG Ai,CESSIBLE ROUTES OF TR�\VEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOFi. WAC 51 •7_0 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHEF CONTROL RECEPTACLES AND OTHEri OPERABLE EOUIPh1ENT WITHIN <br />ACCESSIBLE SPACES OFi ALONG ACCESSIBLE ROUTES OF TRAVEL SHA�L BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES A90VE THE FlOOR. <br />I HER[BY CESTIFY 7HA' I H4VE RE.4D ANO EXAhf/NCD THIS APPLICA7ICN AND KNOW THE : AME TO BE TRUE AND CCRFECT ALL <br />PROVISlONS JF L41V5 4h'O ORDINANCES GOVERNIN3 TM1S Tl'PE OF WORK WILL BE COMP�.EtED WHETHER SFEGFIEO NFREIN OF <br />N07, THE GF.tNT�NG OF a PEFh117 fiOES N07 PFESUh1E 70 GIVE AUTNORITv 70 VICLATE OP CANCEL TNE PROVISIONS OF ANY OTHER <br />SLATE OR LCCAL L-04V FEuUL47/.V� CONSTFUC710N OR THE PERFORMANCE OF CONST�iUCfION. THAT 1 AM AUTHOR�ZED BY TNE <br />OIYNER OF 7H15 PROPE4TY 70 PERFOFM1I THE WORK FOR WHICH APPLICA7ION IS MADE AND 1 COMPLY W17H 7HE STATE <br />CCNTRACTOFSL4LV /92,'FCLVAND:96.CC471NAC. <br />ELECAPia[V B:C�!1 <br />.�oa�l-i�3 <br />fEE <br />