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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 /> �6 t D �af�k)�v `Z`�rc�C-e <br /> PROJECT ADDRESS <br /> S� � -� � r-�o.r,�. 4z,s- 232-6�r/a <br /> Owner h7aii Addrass Ciry State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> � So��.rf�on5 3?.02 (�fi.. S� �-�'(� 1i�9�Zo '�— �3S�}—�Sb� <br /> Eleclrical Contractor Mail Address City StatelLip Pho�e <br /> T i r� C � �c O I�1 �/� Comract Price of Work <br /> State License Number <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ot Work to Be Done: .L r^Co�-Q I"O c�^ � ��� <br /> nl'3 <br /> ;,( 10� -. <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 SHOVJ THE STATE <br /> EDUC�TIONA FACILBITIES AND ALL�EALTH CARE FACILII'I SI PLANS WSLLEBE REV EW ED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1b NCHESSABOVE THE FLOOR.AWAC 51A-20 SEC. 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND`-OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N06(b)4CE& FI AND OT L SS THAN 36LINCHES ABO E THE �F OOR IN THE REACH <br /> 1 HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PAOVISIONS OF LAWS AND ORDINANCES GOVERNINCa 7HI5 T1'PE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OF <br /> NOT. TNE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOI�iTE OR CANCEL THE PROVISIONS OFANYOTHER <br /> STATE OR LOCAL 41 W FEGU47TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOAIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WOFK FOR WHICH APPLlCATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18. 7 RCW AND 296.200 WAC. <br /> � s'...� l FEE �� <br /> � <br /> ignature Dete <br /> ELECAP(REV8f200t) �o//o o3y <br />