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11fd2-2-20�4 09:11 FRCtt1: . T0: 142'-�2578857 P.3 <br /> ELECI'RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERYNIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 95201 <br /> 425-257•8810 - FAX 425•257-8857 <br /> 7 03 Z C�l h4 74-t,� C� <br /> PRQJECT ADDRESS � L�� �� f�L1—L��76 <br /> k^ri /`Z�c�'t0.rd } obl�SM u'32�1G�y r(v� u <br /> Owner Man Adtlress Ciry Stete2p P�one <br /> �c� �UQrQ{*f' b►fi�t-�f ��(�l f C a-�? 2 ��l�j� � �tlQ.s2f� �z,3'�r�/"�q <br /> Tonent Mail Atltlress ����( ��_� �e '^J State2ip Phone I <br /> u.�isl�r�� �i'�°�Y �c,c�a� .�e a� 9'd«r �� �z�a �l�rao <br /> Eieclricel ConUac�or Mait Address Ciry Slete/Zip Phone <br /> I.0 r4��('l 1 ES q 7 / OD '700� —' <br /> Slate License Number Contrect Price o�Wor1: <br /> C�� �'a�rd<<e 9Q�14p�.- <br /> Proposed Use of Bui�ding Conlecl Person ( len Re�yv,iew) <br /> c�Cj C'P Z.G� �f~(C� <br /> Descdplion of Work lo Be Done: � <br /> A-on ��-9 I G�rcvrt `3oQ � 2 0 <br /> �✓ i4- � 4 �-.. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT [DUCATION�L, FACILITIES UTILlZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPUC�NTS WITH SUCH JOBS MUST SHOW THE STATE � <br /> APPROVE� PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER i <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE �ACILITIES PLANS WIU. EE AEVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAti'S, NC OR.AC CABLE. <br /> i <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SVSTEM RECEPTACLES ON WALLS I <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVc! SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC.3108(c)2. <br /> ENVIAONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EIUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.9N 6(b)4 E&F�AND OT L S�THAN 36LINCHES A80 E THE F OOR�N THE REACH <br /> I HEREBV CERTIFV THAT 1 HAVE AEAD ANO EXAMINEO TNIS APPUCATION AND KNOW THE SAME TO BE TRUf AND CGFRECT ALL i <br /> PFOVISfONS OF LAINS AND OFDINANCES GOVERNING THIS TVPf OF WOAK WILL BE COMPLETED NMETHEF SPEGFIED HEREIN OF <br /> NOT, THE GRANTI�:G OF A PEFMI7'OCES NOT PRESUME TO GIVE AUTHCFITY 70 VIOUTE CR CANCEL THE PROVIS/ONS OF ANY 07NEA <br /> OWNEROOF TlRS PFOPCRTI' TO P R�OAMUTf[CLYOFKT FORE�'��Cf�AFPEl�ATIONVSS h1ADE ANOHA CONPLYUW1TN1zTHEeS7ATE <br /> CONTFACTORS LAW 1 B..'7 RCW AND 2�6.200 WAC. <br /> � FEE <br /> � <br /> Sipnature Date � <br /> DEBIT 3 CREDIT CARDS ARE NOT ACCEpTED I <br /> y�� - �� � <br />