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ELEC .:RICAL PERMIT A��PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVCRETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� �r ,,� D <br /> I `J LU �LC�S� �I�"n I I V � <br /> PROJECT ADDRESS �( 2S 3 03 - �S( �� <br /> � l����,lw � <br /> Owner <br /> Mail Addr City State(Lip Phone <br /> � Mail Address Ciry State/Zip Phona <br /> Tenant 3S 3_7�3�, <br /> � I���k, �-p 4' Qo d�",�.� , '�I 51", �'�.�„ .,„�-�,�-#{si 2 Ec�e.�d7 <br /> Mail Address City State/Zip Phone <br /> Electrical Contractor � � <br /> /1 - � I c 1 f� �U.''�� �Z ��CX� <br /> Contrac Price of Work <br /> St le ice se Number <br /> S�� (�� �� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption of Work to Be Donet���I��^� r7 1G� �v� �M� <br /> 1 �l ✓� 1/�-Q�� !J�U cvl/L /� i r'� I.l��.? LVLI/J <br /> ��,c.V�,e,�� /� i v� 7�' � 1 Tl <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPL�CANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATiONAL FACILBIT E9 AND ALL�EALTH CARE FACILITI SI PLANS WSLLEBE REVAEW ED BY THIS OFFI ETHER <br /> NOTE: WIRING IN �ON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICP.PPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLES ON WALLS <br /> OFT SI M�HES ABOVE THE FLOOR.AWAC S1A-20 SEC 31p6�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> Ei�'viFONMENTAL AtJD OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SECLON�G b 4CE & F�AND NOT E SS THAN 36LINCHES ABO E THE�LOOR IN THE REACH <br /> I HEAF.BY CERTIFV TNAT 1 HAVE FEAD AND EXAA1INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF L7 WS AND ORDINANCES GOVEFNING THIS TYPE OF WOFK WILL BF. COMPLETED WHETHER SPECIFfED HEREIN OR <br /> NOT. THE GRANTING U(�7 PEFMIT DOES NOT PAESUME TO Ca1VE AUTHORITI'TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORAIANCE OF CONSTRUCTION. TNAT I AG! dUTHORlZED BY THE <br /> OWNER OF THIS PAOPERTY TU PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WIT4 THE STATE <br /> CONTRACTORS LAW 18.27 FCW AND 290.200 WAC. <br /> f I � � �_ FEE <br /> �� Signature Da e <br /> ELECAP(REV BI2001) E GZ( �—G Zd <br />