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ELECT <br />��tCAL 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 />���5 Qet�edP�� �l�e <br />PROJECT ADDRESS <br />Owner <br />7nna�t <br />Mell Address <br />Mell Address <br />Cantrector Mail Address <br />�4��0 2�-r //3l�3 <br />Stale License Number <br />�� _ <br />Proposed Use of Building <br />Description at Work to Be Done: <br />Clty <br />Ciry <br />� <br />Clry <br />6 <br />Stete2lp <br />Sta�elZip <br />q QS�37 <br />Stete/Zlp <br />CoMracl Pdce ot Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />� <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPRGVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCA IONA FACILBITI S AND ALL �HEAITH CARE FACILITI SI PLA S WSLL BE R V EWED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON 1NALLS <br />OF 16 NCHESSABOVE THE FLOOR.AWAC 51-20 SEC 3106(OZTES OF TRAVEL SHALL BE MOUNTED A t�AINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC.�3N 6 b 4CE & FI A D OT L SS THAN 36 INCHES ABO EUTHE DLOOR.fN THE REACH <br />I HEREBY' C�RT/FY THAT 1 HA'/E FEAD <br />PFOVISIONS OF L4 W5 AND ORDINANCi <br />NOT, THE GFANTING OF A PERMIT DOE; <br />STATE OR LOCAL LAW REGULATING CI <br />OWNEA OF THIS PROPERTY TO PEF <br />CUNTqACTORS LAW 16.27 RCW AND 29E <br />V Signature " <br />DE81T & CHEDIT CARDS ARE NOT ACCEPTED <br />�D THIS APPLICATION <br />i TfiIS TYPE OF WOA <br />'E TO GIVE AUTHORITI <br />OR THE PERFORMAlv <br />'ORK FOR WHICH Af <br />�S¢_.� <br />Date <br />THE SAME TO BE THUE AND COHRECL ALL <br />OMPLETED WHETHER SPECIFIED HEHEIN OR <br />' OR CANCEL THE PROVISIONS OF ANY OTHEH <br />tTRUCTION. THAT I AM AUTHORIZED BY THE <br />'S MADE AND 1 COMPLY WITH THE STATE <br />FEE <br />