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ELECT riICAL PERMIT AI�FLICId►�rON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �- �� �l AOG�r��.��� <br /> PROJECT ADDRESS <br /> �y (P �-u/k� _ 2 ZZ`l �+��i nf S q lr 2 F 1>P,�PTJ� U%�(`t S�ZC�� . <br /> Owner Meil Address City StatelLip Phone <br /> Tenent Mail AEdress Ciry SiatelZip P�e <br /> � fo�l�f�cPl(�i�C es3� 3�sratmse Ere�en" r�a q��o� �Z�P,z�z6ov <br /> Electrical Contractor Mail Address City �j�Siete/Zip <br /> �r������ `L'� �� Conlract Pric��Work <br /> State License Number <br /> Proposed Use of Building l.ontRct Persan (Plan Review) <br /> Description of W ork to 6e Done: C�l aC , � 2�� ��`U��' ` �G�� � <br /> NGtE: PLANS FOR EL�CTRICAL WORK AT EDUCATIONO,t, FACILITIES UTILI2ING STA"st FUN�S MUST BE <br /> APPROVED PLANSEBEFORE�C TY/0F E ER�ETT PERM TAWILL BIEHSSUED.J WAC�96��-H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIu OFFICE. <br /> NOTE: W IRlNG IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABIE. <br /> HANDICAPPED ACCESSIBILITY: FLECTRICAL !1ND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHES ABIOVE THE FLOOR.AWAC 51�-20 SEC1310�02TES OF TRAVEL SHALL BE MOUNTEC A MINiMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND �THER OPERABLE EQUIPIuIENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.�3N 6(b 4CE&FI AND OT L SS THAN 36�1 CHES ABO E TtiE�F OOR IN THE FiERCH <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATION AND KNOW TNE SAME TO BE TFUE AND CORFECL ALL <br /> PfiOVISIONS OF LAlhS AND ORDINANCES GOVERNING 7HIS TYPE OF WOHK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY 07HER <br /> S7ATE OR LQCAL L4W REGULATING CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM, ?HE WOFK FOR WHICH APPLICATION IS MADE RND 1 COMPLY WITH THE STATE <br /> GON7FRCTORS LAW 7827 RCW AND 296.200 WAC. <br /> �d�� l �� l ,j���D� FEE <br /> Signature Date <br /> DEBIT&CREDIT CaROS ARE NOT A�CEPTEO � O�{OS-O.� <br /> J <br />