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ELE� TRICAL PERMIT �_� 'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � � <br /> tc� ft���� � <br /> PROJECT ADDRESS <br /> / �� � ' <br /> SlatelZip Phone <br /> Owner Mail Addross Ciry <br /> Tenant � Mail Address <br /> Ciry State/Zip ��L3 3 Phone <br /> � �(� t=3��-�e <br /> /�� r `FI1 � i� � �(�i.'�"�',"�.l,c,� f�i�r,r�s �(� �nk'�-�� �S✓l`�m�{�. 1�Vi_ �I <br /> 5�����P Phona <br /> Electrical Contraclo� Mad Address ���' <br /> N�r���� �� i G� �( 1 o� , � u <br /> Contract Pri^e of Wark <br /> State L�cense Number <br /> l� ��m.� , — Sr- 2 <br /> Contact Person (Pian Review) ' <br /> Proposed Usa of Building <br /> Descripllon of Work to Be Done: L^� � � LJ �J ' , � I � � � 5 ����"w � �� D� I w ' � <br /> � �1- <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS MUST BE <br /> APPROVED PLANSEBEFORE�TYJOF E ER�ETT PERM TAWILL BEHSSUED.J WACM 96 46-H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND CGMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF SI WCHES ABOVE THECFLOOR.AWAC 5120 SEC 3106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE9 OF WAC SE 20 SEC.�NO6(b)CE & F AND NOT L S�THAN 36LINCHES ABOV�EUTHE �LOOR IN THE REACH <br /> 1 HEREPY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE 7RUE AND COFFECL ALL <br /> NOT,VTHE GRANTING OF A P RMIT DOES NOTOPRESUMF TO'GI EPAU�THOR�TY 70'VIOL:1 E OR CANCE THE PROVISION'S O�ANY O'THER <br /> OWNER OF�THIS PROPEATY TO P RFORM THE WORKT FOREWH�H'APPLI�TlON SSRMADE AND A COMPLYulY17H'ZTNEBSTATE <br /> CONTRACTORS L�1W iB.27 RCW AND 296.200 WAC. <br /> p Z FEE vU <br /> � � � � � � �" � <br /> EL� Signature Da�e <br /> AP(REV82001) C�GR`I—�V� <br />