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ELECTC�:ICAL PERMIT APi LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C:EDAR STREET, EVERETT, WA 98201 <br /> 4:25-257-881� - FAX 425-257-8857 <br /> Y7o9 ����E�E ,�,.� <br /> PROJECT ADDRESS <br /> �.� L,�Go �z�ao Y7o9 Co�� �w� ti•�-�� c„� 9800? Y2s3v1-8r83 <br /> Owner Mail Address Ciry StatelZip Phone <br /> Tenant � Mail Address Ciry State2ip Phone <br /> • �Ga/ �.g d 9 YZ -� - !b/ <br /> lectrical Cont�acto� Mail Address City State2ip Phone <br /> E�LarNss�ya�P _ /968. � <br /> Slale License Number �ontract Price of Work <br /> �N((GC4 !�/�/!GY L�. G �/A/f - <br /> Proposed Use of Build g Contact Person (Plan Review) <br /> Description ol Work to Be Done: S'��ic.� /�/�iF�vGB ��� <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 FACILBITI S AND ALL�EALTH CARE FACILITI SIPLANS WSLLE E REV EWED BY THIS OFFICETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND GOMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3706(c)2. <br /> ENVIRONMENTAL AND OTHER CON�ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE6 OF WAC 5E 20 SEC.�N 6(b)4 E & FI AND OT L SS THAN 36 INCHES ABO E THE�LOOR IN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TYPE OF V✓OFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OP <br /> NOT, THE GFANTING OF A PERIdIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OF CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUC710N OA THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY 7HE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRAC70RS LAW 16.27 RCW AND 296.200 WAC. <br /> �� � �— ia^�r-� � FEE ��- � <br /> Signature Date <br /> ELECAP�REVBf2001) rd//�-v j!J <br />