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' ELECT� .ICAL PERMIT AP� `ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8A57 <br /> "�u��t�,....�� �w-w � <br /> � <br /> �-'aOl�1-v � } <br /> ��ZZ. C��u �--� �V E . <br /> PROJECT ADDRESS / <br /> �-,Al� } � �"�a�,.� c� rl �"Za ( ( �-Z S�L`I� C�z1 <br /> Owner Mail Address Ciry State2ip Phone <br /> '�,n� , n I� F h � e�� �.�-a,,,.► � <br /> Tenant Mail Adtlress City Stata2ip Phone <br /> � 1�*�' \ 'T ���. //J L'-- �u.-��rYt'V�.'� � f��l�J�LF7 I�[_� J 'KJ `K-`-�cJ��� <br /> Electncal Cont actor Mai Atltlress Ciry —r State2ip Phone <br /> 4-1�1= L-�1 �0�-�-�-Z �_C'� 4�.J Z '>� � <br /> State License Number Contract I'rice ot Work <br /> �`� .,� �., � 1-" •� L� � , , 1 <br /> Proposed Use ol Building Contact Person (Ptan Review) <br /> DescriptionofWorktoBeDone: II�STA�.I.� L'1'��—�"� 'Sc=��J� C s7 S <br /> \�e' t \C't'�'D '��7 1�\ L,r�t7 ^ � U l5 t� 1— �I. L�. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIO�AL FACILBITI S AND ALL HOEALTH CARE FACILITI SI PLANS WSLLE E R VAEW ED BY THIS OFFICOTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> WITHIN ACCESSIBLE SPACES OR ALONG I CCESS BLE�ROUTEIS OF�TRAVELSSHALLBE MOUNTED A� MINIMUM I <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.9N06(b)4 E& FI ANDR OTTL SS THAN 36 INCHES A80 EU HE�LOGR IN THE REACH <br /> 1 HEFEBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PFOVISlONS OF LAWS AND ORDINnNCES GOVEFNING THIS TYPE OF WOFK WILL 6E COMPLETED WHETNEF SPECIFIED HEREIN OR <br /> NOT, THE GAAN7ING OF A PEFMIT DOES NOT PFESUME TO GlVE AUTHORITY TO VIOLATE OR CANCCL THE PROVISlONS OF ANV OTNER <br /> OWNER OF�THIS PROPERIY TO PEFFOFMUTHE WOFK FOFEWH�H APPLI�ATIONSS�MADE AND I CGMPLYUWI�N'ZTHE STATE <br /> ONTRACTORS L4W 18.27 RCW AND 296200 Ni7C. <br /> �-- � � � Z r � D FEE <br /> Signat re Date G.. � I �_'�a <br /> �—V <br /> ELECAP(REVB@ 1) <br />� <br />