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ELEC�� RICAL PERMIT A �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425•257-8857 <br /> � y3rL CADY �Q �r 3 <br /> PROJECT ADDRESS <br /> I-1 A c.K g S . <br /> Owner Mail Address <br /> Clty StetelZlp Phone <br /> Tenent Mell Addiess Clry <br /> Stale2lp ZS � r��"' <br />� 4 � rv�mlr C�tx,�i'��c, �2n'� 'l.bl�T ST NW GT�Nt,.� ��,� �i4� Z�2 <br /> Eleclricrl Conlraclor Mail Addresa <br /> ��ry Stete2lp Phone <br /> S�.,M M►C 1 Goo� 4G �u <br /> Contract rice ol Work <br /> State License Numbe� <br /> n <br /> Contecl Peraon (Plan Review) <br /> Proposed Use ol Building <br /> Descrlption ol Work lo Be Done: <br /> Z.�o f�r�P �Kvtc,C ANn w�R�Nc�. <br /> NOTE: PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED PLANSEBEFORE�TYJOF E ER�TT PERMTAWISL BIEHSSUED.J WACM 9646•H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW�.7 BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RF.OUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 15I NCHES ABOVE THE FLOOR.AW C 5120 SEC 3106 OZTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 SEC.�N 6�b)4CE 8 FI A DRNOTTL SS THAN 361NCHES ABO EU HE�LOOR IN THE REACH <br /> 1 HEREBV CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO QE �FUE AND CORfiECT. ALL <br /> NOTV H'�GR�NTING OF A PERMIT DOES fY0�PFESUME TO GI EPAUOTHOR�TY TO VIOLA E OfiPCANCEL THE PROVISION'S OF AN�OPiER <br /> OWNER OF�THAS PFOPEFT�TO PERFOFMUTHE�WORKrFOF WHICH'APPLICATIONSSRMADE ANDHACOMPLYUWI�H�ZTHEBSTATE <br /> CONTRACTORS LAW 18:7 FCbV AND 296100 WAC. <br /> �• --�� p�U(r Z`� "� FEE <br /> Signeture D te <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED���L�S f� <br /> _ � <br />