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ELEC�� :ICAL PERMIT AP`r-LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR ST�EET, EVERETT, WA 98201 <br /> 425-257�8810 - FAX 425-257-8857 <br /> i y'� Cvdu/N �JV`� v -Pi <br /> PR JECT A�➢RES <br /> '- /�� ����_� �.�a -�l�� <br /> `��f}"l� , l� ��SDr� `i9'jvt.e �/GJ � <br /> Owner <br /> Mail Address City State2ip Phone <br /> Tenant <br /> Mail Address City State/Zip Phone <br /> � p�� Stete2ip Phone <br /> E�ectrical Conl�actor Mail Address Y <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plar^Feview) <br /> Description of Work ta 8e Done: <br /> �-J` �-�U � ✓�OO /''/'��O �G)�'f✓/G-C� <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�AT ONAL FACILBITI S AEdD ALL H�EALTH C R FACILITIESI PLANS WSLL BE RE AEW ED BY THIS OFFI OTHER <br /> NOTE: W IRING 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 /> O 15I WCHESSABO E THE FLOOR.AWA 5120 SEC 31p6(02TES OF TRAVEL SHALL 8E MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGE9 OF WAC 5E 20 SEC.�N06(b)4CE & FI AND NOT L S6 THAN 36 INCHES ABOV�EUTHE�F OOR.IN THE REACH <br /> 1 NEFEB AT 1 HAVE R.•AD AND EXAkIINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND COFRECL ALL <br /> PROVISIONS OF LA WS AND ORDINAl/CES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEfi SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7HAT 1 AM AUTHORlZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS L4W 1�.27 RCW AND 296200 WAC. � <br /> ;'�ti ��, �:� - ��� y FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED Ep41�-�`�l <br />