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ELECT�.�CAL PERMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ///Zo f've,�r� �,/�� ��f �r�� �'�/C��r�'7, wb, <br /> PROJECT ADDRESS �, � �Z„o • <br /> r I I i� �u�k�i�7�N�V �� -�f £� � svT� 7� � - <br /> � <br /> Owner Mail Address City State2ip Phone <br /> �'-�ld�lky /W oG/7Ir� �l•6o IYo nf- /�U�. iYa. �j�/na /�e/�tvu.c u� �yo% �L�-�`�/-/�� <br /> Tenant Mail Address City State2ip �,yS— Phone <br /> dlC7�fr N/�j{/�/it-iv G�tul �/�- L/�aZG7�t✓/C-f- L�.t/N�'�i w/�, rj'/ oT� �I�i-/— 2tJ'�' <br /> Electrical Contractor Mail Address Ciry State2ip Phone <br /> wk• $'�'�5` �='74/Pd'77 <br /> �u�-U-�����<.� J'�� ��, 12w� �y 9r s�L� �l/la°�l, 3�: •=c�y�, � <br /> State License Number �J�S'Cu /��� Contract Price of Work <br /> 74�'�l-e ��i�n <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �57�� z���1/N�J"7� .S/.��+JL�.- Ci9��N�7 slGlN • <br /> t✓Lr/�6'X3'' L.4Gl aoc� r9ak �or!'•M �!x's av r�� .w4b <br /> tr�!'�t 7lff2al Wr7z�, /J�i 'M <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONA FACILBITIES AND ALL�EAETH CA E FACILITI SI PLANS WSLLE E R VAEW ED BY THIS OF I OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND`�OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESiOF WAC 5E 20 S C 9N 6 b)4CE & FI ANDR OUT L SS THAN 36LI CHES ABO EU HE�LOOR IN THE REACH <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIE�HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT/NG CONSTAUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOF WHICH APPLICATION IS MADE AND I COMPLY WITH THE SThTE <br /> CONTRACTCRS L4W 78.27 RCW AND 296200 WAC. <br /> � <br /> � �l�L/ /v FEE �J� <br /> _ � <br /> Signature Date <br /> ELECAPIREV 8I2�01) �GI�// `I �� <br />