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ELEG�' R�CAL PERMIT AI� �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STAEET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> .` i,s oc,�E cL�.� �,�. ��s- zS9-3f��3 <br /> P JECT AD ESS���CJ����v l�/� ��C�P� : �/F �l�EfG Yv /�L(JI <br /> ���'" " ' Sta�e2ip Phone <br /> Mail Address C�ty <br /> Owner `��� <br /> � /� u� ��" �"" " - phone <br /> Tenanl Mail Address <br /> Ciry State2ip <br /> � � Phone <br /> �iry Stete2ip <br /> Electrical Conlractor Mail Address <br /> ��� �� <br /> Contract Pricer of W ork <br /> State License Number /��� � ��, <br /> ��� ,. ll 0��/�11� - 2� <br /> ��S i�� �.�.� — S r �~ CoNact Person (Pian Reviewl <br /> Proposed Use of Building � <br /> Descriptien of Work to Be Cone: N� '/�/� L/� � ��L� L ^ <br /> � � /i1 � /�.�I�/J�' r G%�i CL– " c�0 F' iiG i,�/A�� <br /> �'r ���� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZ'�NG STATE FU'JDS MUST 2�c <br /> APPROVED PLANSEBEFORE�C TY OF E ERETT PERM TAWILL BIEHSSUED.J�VACM 96 46-H40W ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON W�LLS <br /> OF 5I N HESSABOVE THE FLOOR.ANIAC 51A-20 SEC 3106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N06(b)4CE 8 FI AND NuT L S�7HAN 36LINCHES ABOVEUTHE D OOR IN THE REACH <br /> I HEREBY CERTIFY T AT I HAVE READ AND�E...4MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORflECT. ALL <br /> NOTVTN!E GRA�NT`NG C'�f A PERMIT DOES NO�PRESUME TO GIVG AUOTH A�TY TO'VIOLA E OR CAN E�HE PROVISIONS OF ANY OI THER <br /> OWNER OF�C�y PR PERTY TO PEA OFiM THE WOAKT FOREWHIOCH APPLICATION SSRMADE AND A COMPLY W�m'ZT�E STATE <br /> CO7JTRACTO W�27 RCW Ah'D 296.200 WAC. <br /> , � �/��/ 'r��— �IJ'�S ��� FEE �� � <br /> Dale <br /> � Signa�jtirb , <br /> DEBIT&;CREDI,'l�CARDS ARE NOT ACCEPTED ���3�� ��� <br /> /� <br />