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ELEC� ��ICAL PERMIT A�,�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I425-25� 8810 - FAX 425-257-8857 <br /> 9/6 �l or6i�� D r' 1 Ss.�y <br /> PROJECT ADDRESS <br /> !<./4,VY,2uJ !e `�'/G �/ �-�-r'6ek� �/' �..z�o�I` kJ.�J- 9'F1'.�ay <br /> Owner Mail Address City Stete/Zip Phone <br /> Tenant Mail Address Clty Slate2ip Phone <br /> DS.J 2G�< 7 Z s� s� s�Q.�� t.�.� �S.t�� 33".�5�% <br /> Electrical Contractor <br /> Mail Addres, City StetefZip Phone <br /> /�� �� ,� o�� �3�— y� <br /> Stja�te�ense Numoer Contract Price oi Work <br /> Propose�Use of Building Contact Pe�son (Plzn Review) <br /> Description of Work to Be Done: �� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST RE <br /> APPFOVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONA FACI'BTIES AND ALL�HEALTE C E FACILITI SI PLANS WSLLEBE R V EW ED BY THIS OFFjCETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANCICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I NCHESSABOVE THECFLOOR.AWAC 5120 SEC13106(02TES OF 7RAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEA OPERABLE EQUIPMENT `NITHIN <br /> RANGES OF WAC SE 20 S C�3N06(6)4CE & FI AND NOT LES�S THAN 36 INCHES ABOV�EUTHE�F OOR�N THE REACH <br /> 1 HEREBY CEATIFY THA.T 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GAANT.�NG OF A PERMIT DOES N��T PAESUME TO GIVE AUTHORITY TO VIOL4TE OF C•ANCEL THE PFOVISIONS OF ANY OTHER <br /> OWNER OF�THIS PP.OPEATY TO PERFG.iMUTHTE WORICnFORE�H�H APPLI�ATIONSSRMAD�ANDHACOMPL)UWITH'THEBSTATE <br /> ?ON.'RACTORS LAW 18.27 RCW AND 296200 WAC. � <br /> � FEE � <br /> �Ge.,� R' � •2 �� ��� <br /> Sigr�ature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � /p,�_ /b / <br /> �� <br />