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ELECThICAL PERMIT APF�IC�4TIUN � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3;:00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �� 7 CG �i '2�/.",i� 2 ��i, C <br /> PROJEGT ADDRESS /� r � � `✓y ����� I <br /> �i+" � i /� �N� �70 �' �u . �'1 ��i <br /> � � <br /> Owner Meil Address Ciry Stete/7-�p °"e <br /> Tenant � � <br /> Mell Addrese Ciry 5tate2lp Phone <br /> /�.r.r,fr'SSi�.t / �/F��/.c tC��or� y� ��/��i �� Iz�-, �' �f `)��>3 S�sf=�'7/2 <br /> Phone <br /> Elecldcal Contractor Mail Atldrese ���Y $1e1��P <br /> ��'�� � `� `T� �� 7� � Co�itract Prlce ol Work <br /> Stete License Number <br /> Sr � Contact Person (Plan Review) <br /> Proposed Use of Building <br /> DescripllonofWorktoBeDone: ��r����� -5����' � �� �'G1 �! �/'!o`�y / <br /> � <br /> C � ' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICA!JTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAI FACILIT ES AND AlL�EALTH C E FACILITI SI PLANS WSLLEBE R V EWED BY THIS OFFI ETHER <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5'NCHES ABOVE THE FLOOR. WAC 51�-20 SEC 3 jpg 02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTAC�.ES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGESIOF 'JVAC 5E 20 SEC.�3N 6(b�CE & FI AND OT L S9 THAN 36LINCH�S 480 EUTHE F�O,OF.IN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TNIS APPLICA710N AND KNOW THE SAME TO BE THUE AND CORHECT. ALL <br /> PROVISIONS GF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEH SPECIFIED HEAEIN OH <br /> NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PFOVISIONS OFANY OTHER <br /> STATE OF LOCAL LAW F7EGULATING CONSTRUCTION OR THE PEFFUFMANCE OF CONSTRUCTION. THAT 1 AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPERt1' TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br /> CONTRACTOFS LAW iB27 RCW AND 296.700 WAC. <br /> �f��'� �fi', . � �, � FEE <br /> Signature Dete <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED CG'!�-�15 <br />