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FP.OM : Trlangle Telecom � FAX N0. : 425-682-1895 Apr. 07 20G4 12:25PM P1 <br /> s <br /> ELECTRIC/�L PERMIT APP�ICATION <br /> CITY OF EVERETT PERNlIT SERu!CES <br /> 3200 CEDAR STREET, EVERETT,WA 982Q1 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 49ao-A C.`��te.+�.�_�4�a�— <br /> PROJEGT AOQRES§ <br /> Ow�ef MaA ACtlress <br /> Ciry SutNZip Phone <br /> (�,-�. V�,eE +�G��/� • c�� �'�� va-�-r I�!(� 9d,�a� <br /> �. �m Phone <br /> Tenan� MeilAddresc nS�`�L� C 1� <br /> 1 N� S�T !' " �Q ��"� �� <br /> —j '�n , ' c�h sc���z�v $Crj3 PhoM <br /> Electrical Contr r Mau Addmss <br /> i -rx� Ni� �'iR9�9 $vu.,� a% _ <br /> Con?2ct Pnce of Wo� <br /> State License Numbe� {� I � <br /> [`l�!^^ �1,��1� � � � )P:�'IfliS �-o�/e.. <br /> « Cvniact Person (Plen Revlew) <br /> Proposetl Use of Building <br /> Desc�ption ot Work to Be Done: y�'1. �I C -r a-'�c:- <br /> � . -�{i� C-�-,vP t-F V11rr�F � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES U7ILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W�TH SUCH JOOS MUST SHOW THE STATE <br /> EDUCATIONA FAC�LTIES AND A L HEA TH GA E FACILITIESI PLANS�WILLEa REV EWE BY THIS OFFI�E.HER <br /> NO7E: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC 0'r.AC CA6l.E. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYS7EM RECEPTACLES ON WALLS <br /> WITHIN AGGESSIeLE 5PACES OR ALONG ACCESSIBLE ROUTES OF TRAVEt SHALL BE MOUNTED A MINIMUM <br /> OF 151NCHES ABOVE SHE FLOOR. WAC 51-20 SEC.3106(c)2. - <br /> ENVIRONMEN7AL AND OTHER CONTROL RECEPTACLES AND 'OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC S�S�EC�3N 6 b 4 E 8 FI ALNDRNOTTLESS THAN ELINCFIES A[iOV�E T E�OORIN THE REACH <br /> I HEREHY CERTIFY TNAT I HAGE RFJ+D AND FXAMINEO THIS APPUCA710N•dND KNOJ.' 7NE S.4ME TO 8E TRUE AND CORRECT. ALL <br /> 7HEGRAN7INGOFAPERMITDOc5N07PRESUME'70GIVE�HORI7YT0VIO/UITEORCANGELDTHE� RP OVSONSOFANYOTHERSTA7E <br /> �THIS PROPERTY TO F RFO M11 THE WORK FOR WNlCN�P I�CA'RON!S MADE AND�COMFLY W mT TME 5 A E�CONTRAC7DRS WE B 27 <br /> RCWAND Y96.200 WAC. <br /> I —k� `C "j' 7�U� _ FEc/#�� il� <br /> Z'I <br /> Signatma �"---� __� Date <br /> ELECAP(REV BR0011 �G �EC'�'G S� <br />