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ELEC� RICAL PERMIT aF�'LICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8ti57 <br /> L- I <br /> �bf� ���� � �,,,) Lnt I1 <br /> PROJECT ADDRESS <br /> � u�c� �U`�7,�c <br /> Owner Mail Gddress City Slate�Lip Phone <br /> Tenanl Mail Address City Stale2ip Phone <br /> �dL1 EtE�{�,�c- ?�-4-Ic� PiNE ���{— I,JA- 9F3zol ZSZ-9�o7 ,_ <br /> Eleclrical Conlractor Mail ACdress City State2p Phone <br /> kU�'1 F LFG � C)7 fcJ 1 r�� ,� <br /> State License Number Contracl Price of Work <br /> I <br /> ��� i <br /> Proposed Use of Building Contact Person (Plan Review) � <br /> ,f� I <br /> Description ct Work to L7e Dane: �D � �/J �"�-il «Sl��'^��' — <br /> � <br /> I <br /> 1 <br /> ; <br /> ; <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT E'�UCA'�IONAL, FACILI'fIES UTILIZING STATE FUNDS MUST BE ! <br /> APPROVED BY THE STATE OF tiNASf-IINGTOP�. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE ] <br /> APPROVED PLANS BEFORE CITY OF EVERE7T PERMIT WILL BE ISSUED. WAC 296-46-140. AI.L OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH Cf.RE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IiJ NON-DWELLINGS IS REQUIFIED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> ti <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL :=ND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS ! <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCtSS18LE ROUTES OF TRAVEL SHALL BE MOU�ITED A MINIMUM i <br /> OF 15 INCHES ABOVE THE FLOOF. WAC 5?-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABI.E E�UIPMENT WITHIN <br /> � <br /> RANGESI OF WAC SE 20 SEC.�3NU(b)4CE & FI AND OTTL S9 THAN 36LINCHES ABOV�EUTHE �LOOR.IN THE REACH <br /> ! HEREB/ CERTIFV THAT 1 HAVE RE.4D ANG EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEANING 7HIS TYPE OF lM1'OFK WILL 6E COMPLETED WHETHEA SPECIFIED HEREIN OF <br /> NOT, 7HE GRANTING OF A PEFMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[PROVISIONS OF ANY OTHER <br /> OWNER OF�THAS PROPER7Y TO PERFOAM THE WOFKTFOR WHICH APPLICATIOONSS�MADE ANOHACOMPLY WITH'ZTHEBSTATE <br /> CONTRACTOFS 117W 1827 RCW AND 296.200 WAC. <br /> -��. c��. Pc���cz �- i-o3 FEE <br /> Signature ^ Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �d3dS-D23 � <br />