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ELECI .;ICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �1 �f1",� �lG( ('I�v1,- ��� � <br /> PROJ�CT A/DD_RESS / I � S O �'�/ s��� �J �N ��0 I `�.�Z �ri'o?� 3� <br /> �l/ LK. (p <br /> ���Y Stata/Zp Phone <br /> Owner Mail Address <br /> Tenant Meil Add�ess <br /> City State2ip Phone <br /> /�� '� City Stare2ip Phone <br /> Eleclrical Contractor Mail Address <br /> Coniract Price of Work <br /> State License Number <br /> Conlad Fersor �Plan Review) <br /> Proposed Use o(Building <br /> Description oI Work to Be Done: <br /> /��/ �Ud /�-�� �'��J r ��— <br /> NOT- P�ANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED PLANSEBEFO E OC TY/OF E ER�ETT PERM TAW ILL BIEHSSUED.J WACM296 46-H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> WITHIN ACC SSIBLE SPACES OR ALONG IACCESSD�E ROUTEIS OF�RAVEL SHALLBE MOUNTED �A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC SE 20 S C O3N 6(b)4CE & F�ANDRN�OT LES�S THAN 36LINCHES ABO OU HE�LOOR IN THE REACH <br /> I I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALC <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF INOAK 'NILL BE COMPLETED WHETHER SPECIFIED HEFEIN Ofl <br /> NOT, THE GRANTING OF A PEFMI t DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE/7R CANCEL THE PROVISIONS OF ANY OTHER <br /> OWNER OF�THAS PROPER�TO PEF�ORMUTHE INORKrFOREWH�H APPLI�ATONNISRMADE ANONACCMPLY WI'Ri1zTHE85TATE <br /> CONTFACTOFS LAW 1827 RCW AND 296.200 WAC. <br /> I� �-c;, �'� �� � .�.,�- d y FEE <br /> Date <br /> Signature <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � �// _ / � � <br />