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ELEC � RICAL PERMIT Af- ,�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4?_5-257-8810 - FAX 425-257-8857 <br /> � �- 9 �,�o��,���., f <br /> PROJECT ADDRESS �� �r f � c� ' A /���9�0 <br /> � •r n/e .,ll.�.i,�.(Q `� <br /> Owner M�I Address City StatelZip Phone <br /> C°r�•1��1s-,I�o-/jti�i 3�o - G�s-9�Ss <br /> Mall Addrass City Sta�e2ip Phone <br /> �m �� Mail Addres� City Sinte/Zlp Phone <br /> Eleclrical Coniraclor <br /> ��Z��� A•� �r� � 3s� o 0 <br /> Slate License Num er Contract Prica of Work <br /> i <br /> Praposed Use af Building Contect Peraon (Plnn Review) <br /> Description oi Work to Be Done: ._ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUP�DS MUST BE <br /> APPfiOVED BV THE STATE OF WASHINGTON. APPLICANTS WITIi SUGH JO85 MUST SHOW THE STATE <br /> E UC�ATIONAL FACIUTIE�S AND ALL�EALTH C E FACILITI SIPIANS WSLL BE R V EWED BY THIS OFFI�THER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FiECEPTACLES ON WALLS <br /> OFT SI INCHES ASBCVE THE FLOOR.AWAC 5120 SEC 3 106(�2 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N061p)4CE& FI ANDR OU7 L S3 THAN 36LINCHES ABO E THE�LOOR.IN THE REACH <br /> 1 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLIC.iT10N AND KNOW THE SAME TO 6E iRUE AN� CGRFE�7. ALL <br /> NOT,V7H'E GRA�NTING OF A PERMIT DOES NO�PRESUME TO GIVEPA�HOF�TY TO'VIOI�TE�ORFCANCELµTF'E PHCGISIONS JF AN�OTHER <br /> STA7E OR LOCAL LAW REGULATING CONSTFUCTION OR ThE PEFFORMANCE OF CONSTflUCT10N. THAi 1 <.,'N AUTHORIZED BY THE <br /> �ONTRACTORSLAlN�B27FCWA�N0296200WACE WORK FOR WHICH APPLICATION IS MADE A!�D � CpMPLY WI'N THE S7ATE <br /> FEE <br /> �/I <br /> Signelure Dete <br /> DEBIT&CREDIT CARDS ARF. NOT ACCEPTED � O 3 C1� �G9 � <br />