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EL��TRICAL PERMIT �+PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �`�3� C���� ��� <br /> PROJECT ADDRESS <br /> , �., , � � � ,� � �*l^ �v��2�=T? (.t/� `f��o� tiZ5"�'7 ��6p <br /> i Pc� � �R'�' � I T n. � /�lF � <br /> Owner Mell Addrass Ciry State2lp PMna <br /> }��.c� ��QCf S�1 I�'l� �`. � �'�(l vP, <br /> Tenent Mall Address Ciry State2lp Phona <br /> � rr ;� =�Pc �c �� 670.� �'� � �'s� 5-}t�n Wo� l� %BZ�IZ '2�=3oS�.57s� <br /> � <br /> EleclriCal Contrector Meil Address Clty Stete2lp Phone <br /> /£�� `x�' <br /> �Umm��� � �1 m � — Contrecl Pdce ol Work <br /> Stete License Number <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> �7� [� 'I�� J � <br /> Description ol Work lo Be Dona: 1 L" I� f T �� 1J r <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZINCa STATE FUNDS nAUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW ThiE STATE <br /> EDUCATIONALLFACILITI S AND ALL�HEALTH C E FACILITI SI PIANS WSLLEBE REV EW ED BY THIS OFFICE.HER <br /> NOTE: W IRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WfLLS <br /> OF 16 NCHES ABIOVE THE FLOGR.AWAC 5120 SEC 3106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N 6(b 4CE 8 FI AND NOTTL SS THAN 36LINCHES ABO EU HE �F OOR IN THE REACH <br /> 1 HEFEBY CERTIFY THAT I NAVE REAO AND EXAMINED THIS APPLICATION AND I(NOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PFOV�SIONS OF LAWS AND OFDINANC,ES GOVERNING THIS TYPE OF WORK WlLL BE COMPLETED WHETHEF SPECIFIED HEAEIN OR <br /> NCT, 7HE GRAN7ING OF A PERMIT DOES NOT PRESUME t0 GIVE AUTHORITV TO VIOLATE OR CANCEL THE PAOVISIONS OFANY OTHER <br /> S7ATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFOFMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br /> CONTRACT RS11.AW�BP7FCWAND 96200M1WAC.E WORK FOF WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> �_ \ <br /> ,�� �� • I� � �� �� � 7 FEE <br /> \� '� \ �'. ,,, f- � <br /> 519neWre <br /> ' ` Date <br /> DEBR R CdED1T CARDS ARE NOT ACCEPTED Eo 305 -13� <br />