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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ; 7 � 7 � � �� � ��� � U� <br /> PROJECT ADDRESS <br /> �}al�l� �i �OWr��i� .s FVE� �i� w/-� 98z�3 <br /> Owner Mail Address City State2ip Phone <br /> �{z s -y3 8 -i 93Q <br /> Tenant Mail Address City State2ip Phone <br /> Electrical Contracto� Mail Address Ciry Slete2ip Phona <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: P� ��GK G(/ 1Y/�/�F( �/ (, � J./ 5" %f� l l.. <br /> D .�, v, c G�7 G R — G: v✓ e� ( �-,�L' s <br /> CVL'I J-� e �4 � — � C:ecC � e (er, �Q�LaG/�/r�h �/JCR �-+-� i / <br /> .��as/� <br /> NOTE: PLANS FOR ELE( STATE FUNDS MUST BE <br /> APPROVED BY THE STA' �UST SHOW THE STATE <br /> APPROVED PLANS BEFO • 296-46-140. ALL OTHER <br /> EDUCATIONAL FACII_ITIES �>��J ��J�z S �,�/.� . ;( VED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DV �� �� ,L.. � � 48LE. <br /> c� �.,3,P ��-- <br /> HANDICAPPED ACCESSIB � � / � � =CEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPA� �'_P/iGG�i C77 Gv` � c •, BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE ,�C" � / <br /> ENVIRONMENTAL AND C ' ���t �� ��/� v� z\ �LE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR / JTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SE C ���`'� � '""� � /, HE FLOOR. <br /> /� /o/i� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAh1E TO BE TAUE AND CORRECL ALL <br /> PFOVISIONS OF LA6YS ANO ORDINANCES GOVERNIflG THIS TYPE OF WORK WILL BE COAIPLETED WHETHER SPECIFIED HEAE/N OR <br /> NOT. THE GRANTING OF A PERMI r DOES NOT PAESUME TO GIVE AUTNORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEn^FOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> � OWNER OF THIS PFOPERTY TO PERFORM1I THE WOFK FOq LYHICH APPLICATION fS MADE AND 1 COAQPLY WITH THE STATE <br /> CCNtRACTORS LAIV 7827 RCW AND 296.200 WAC. <br /> �� <br /> ✓%�,�=�=�7,�„r,��� z- z.S - 03 FEE <br /> .'� � SignaNro Date <br /> DE81T&CREDIT CARDS ARE NOT ACCEPTED <br />