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� ELECT,"ICAL PERMIT AR^LICATION ; <br /> � CITY OF EVERETT PERMIT SERVICES <br /> �_�r 3200 CEDAR STREET, EVER�TT, WA �8201 [O -�9-O.b <br /> 425-257-8810 - FAX 4:_'5-2�7-8857 (�=06/b"�,3 ZS <br /> �— — ' <br /> � , � <br /> �n �"r' �'.� �� li +�< <br /> PROJECT ADD�iESS <br /> i ��'-' � /� 'i;'�, ((�l',C'� Z3r� �1�,�_ (c� �t.ere-t7 1'�'t% (�la_, � 7y�-9sSo <br /> Owner Mzil ACdress Ciry State.2ip Phene <br /> Tenant � b?ail Atldr?ss City State2ip Phone <br /> ) n /� y� <br /> tV( fl!1�( 11 ��� /(('('l �rrf � JoiViC(. i'_�l'�. /"�•}t I���.C��� FLIv� !'ri(IS �/`,(� �0�/�� `( �S ' 7��'1�,�Q0 <br /> Electtic�l Contractor � Mail Aadrrss City � Statz2ip Phone <br /> ����� ���. � : l'' �n ��F � 5O`rs <br /> State License Number Contract Price ot Work <br /> /� I <br /> � �° �;% �r7. �<< (y-��f�vr�!- <br /> Pro,�ceed Use ol Building Coniar,t Person (Plan Reviewl <br /> �escription of Work to Be �one: �,{��/'C `17� C'-/ � I {i C�I �?G' �G�f�'` <br /> V �/ <br /> NOTE: PLA��S FOR ELECTRICAL WORK HT EDUCATIONAL, FACILITIES UTILIZWG STATE FUNDS MUST BE <br /> APPFOVED BY THE STATE OF bVASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLP.NS BF.FORE CITY O� EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONA� FACILITIES AND ALL HE.4LTH CARE FACILITIES FL4NS WILL BE REVIEVVED BY THIS OFFICE. <br /> NOTE: WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, UC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS S'fSTEM RECEPTACIES ON WALLS <br /> WI" �IN ACCESSIBLE SPACES OR ALOVG ACCESSIBLE RpUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 1 F iNCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTRCL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL CiE MOUN i ED WITHIN THE P.EACH <br /> RANGES OF WAC 57•20 SEC. 3106(b)4 E & F AND NOT LESS THA�I 36 INCHES A60VE THE FLOOR. <br /> 1 HERE�Y Cc.=rTlFY THAT I HAVE REAG :.ND ^X.:�JINED i'rllS APPLICATICN AND KNCL"! iHE SAh1E TO 9E TFUc AND GOF.FECL ALL <br /> PROVISIOM1'S OF !.i WS ANU CFDINANCcS GJVERNING rHIS iYPE CF WOFK WILL 3E COhIPLc i ED WHtTHEn SPECIF/cD HEREIN OR <br /> NOT. i Hc GRAPJTING GF A P�RG4lr DOeS NOT PF.ESJb4E i O GIVc'AUTHORITY i G VIOGiTc OR CANCEL i HE PAOVISIONS CF ANY OThieR <br /> STATE OF !CCAL LiW nEGUL4TlA'G CONS7FUCTION CF i H[ �ERFOFhfA�'JCE OF GONSTnUi;TIUN. THAi I AM AUTNOFIZED 3Y TNc <br /> GWNt�' CF iH15 FnCPEnTY 70 PE,RFORPA 7hE VJOFK F'OR WHICH AFPLIC.iTlON IS .i.iCE AND I COMP!Y WITH Ti-iE STATc <br /> CGN i nAC70F5 L7 W 19 27 FCbb'AND 2PF.200 bVfl C. � <br /> I��;T'i � I � ! i"`l 'T I(:" I(7� �Ic "�lO I� FEE <br /> L :� Signa;�_�rc Datc <br /> ELECAP(�EV&ZC9;1 <br />