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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�21� (S- �'7 �'"� l��_ S� - � OT �s <br />PROJECT ADDRESS , _ _ � � � , , _ r-. <br />Tenant <br />Mail AEdroes <br />Ma� <br />EIBCMC01 COnV9CtOf � MaX AAdre!ts <br />Ih►'-f%1F��0�.CZ -- <br />ta�e Lkanee Num er <br />Dexrlptlon ol Wak to Be Done: <br />Cpy <br />Clry <br />StetafLip <br />SteteYOp <br />Ptane <br />Phane <br />SutNZip Phon� <br />�i ��1Qr1.�0 _ <br />Contract Pnce f Work <br />CoMect Person (Plen ReNew) <br />NOTE: PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVE� BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEfORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALl HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLtNGS IS REOUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: EIECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF i5l NCHES AB�OVESHE FLOOF.AWA 51A-20 SEC1B'E��OZTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIFlONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />FANGES OF WAC 5E 20 SECLONo6(t�i)4CE & F� ANDRNOUT EESS THAN 36 I CHES ABOVEUTHE �FLOOq IN THE REACH <br />1 HEFEBY CEFTIFY TNAT I MAVE l7EA0 AND EXAMINED THI.S APPUCATION AND KNOW Tl'iE SAME TO BE TRUE AND CORRECT ALL <br />PAOVISIONS OF L4 W5 AND Ol7DINANCES GOVERNING THIS 1YPE OF WORK WILL BE COMPLETEO WNETHEF SPECIFIEO HEREIN OR <br />NOT, TME GRANTM('i OF A PERM/T pOES NOT PRESUME TO GIVE AU7MOAITY TO VIOU 7E OR CANCEL THE PROV7SION5 OF ANY OTMEN <br />OWNER OF T1a5 P O ER�Y TO PEROFORMUTHE WORk�FOR WH�Chi APPUC�AT/ONS�MADE AND 1 COMPLYU4V�p�THE85 n'f <br />CON7RACTORS UW r927 qGW AND 196100 WAC <br />� �--y� �� 3 � <br />SigMwn Dero <br />ELECAi!REV6�2001) � ��� <br />/1/�_ ��l <br />(.' <br />,?'d LfEO-LSL-09E <br />FEE <br />olJ�o�j• �nN <br />dst�eo eo oe d•s <br />I <br />