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ELEC�'91CAL PERMIT AF�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 7609 ��'c'�� ✓�� <br /> PROJECT ADDRESS <br /> ��/ �� 7,6D � ��� �° �1�-yI' cul� g�37 <br /> Owner <br /> Mell Address Ciry StetefZip Phone <br /> � � <br /> Tenenl Mail ACdreas ���Y S��BmP P��e <br /> �r/!'�����-,o�L 64-2� i�7-uo D� �'l G�,�,a.w�o cvd 9�3� <br /> Electrical Contractor Mail Addresa Ciry Stete2lp ���p� �C�¢ <br /> // <br /> �-�id�f�o33DE, �o��P�e a�i w� <br /> State License Number <br /> � L �- L��.f�1i[V /"�+f�L'71�L� <br /> Praposed Use of Building Contect Peraon (Plen Review) <br /> Description of Work to Be Done: �jfM�L� � '�o""� ��' 'I�� �✓ ��"f��r <br /> .J't�i�✓iC t= �����L'� �LI,JiP�€� �' �/�C� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPHOVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONAL FACIUTIES AND ALL�HEALTH CARE FACILITI SI PLANS W ILLE E REVAEW ED BY THIS OF,ICE.HER <br /> NOTE: WIRING IN NON•DWELLINGS IS REaUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5�NCHES ABIOVE THECFLOOR.AWAC 51A-20 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 S C 9N 6(b)4CE & FI AND NOTTL SS THAN 36LINCHES ABO E THE�ppq IN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHREC7. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE LOMPLETED WHETHER SPEClFIED MEAEIN OF <br /> NOT, 7HE GFANTING OF A PERMIT DOES N07 PRESUME TO GIVE AUTHORI7Y TO VIOUTE OH CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUI�ITING CONSTFUCTION OR THE PERFORMANCE OF LONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> �CONTRACTORS'LAW�9.2�IaCWA�ND296200WAC.E WORK FOA WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � � FEE <br /> Sign ture Dale <br /> EL"cCAPIREV 82001) F o3d a-�5� <br />