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ELEC'� �ICAL PERMIT AP'rLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> y�Z �L f�l Sd- _ �yZ5�388- 3y8� <br /> PROJECT ADDRESS �X�JSO$ <br /> � s„ l� �� � �-� � s� �,�f��. r�/� 9gz63 <br /> =f'PiIP ��-- ��— ^ <br /> Owner <br /> Mail Address City StelelLip Phone <br /> l 1 � ( � / � / <br /> SQ�n <br /> Tenanl Mail Address <br /> City StelelLip Phona <br /> �� « �,7� �� 6oX Z4�� f'derrlY l�l(4 q81/3 ��25)yz3'e239 <br /> Eleclrical Coniractor Mail Address �— S�t��p Phone <br /> Qo r� �f 7�7;>�� Z �00 <br /> p^ ' `� Contract P 'ce ot Work <br /> State License Number <br /> Proposed�of Bwlding Contacl Person (Plan Review) <br /> Description ot Wark ro Be Done: SE(`�/1 GQ C�la(Ad'P sISlN P fL2-c d `�� D f/� 57� <br /> �4 � �y � G r� 1' � a-�.�s�e i i� F�✓�n.xc e !'O.Gil�l <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCN JOBS MUST SHOW THE STATE <br /> EDUCATIONA FACILBIT E� AND ALL HEALTH CA E FACILITI SI PLANS WSLL BE R V EW ED BY THIS OFFI ETHER <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 SI WCHES ASBOVE THE FLOOR.AWAC 5120 SEC 3 tp6(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SEC.�3N06(b)4CE& FI AND NOUT LES�S THAN 36LINCHES ABOV�E THE�LOOR.IN THE REACH <br /> 1 HEREBY CEATIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND COFRECT. ALL <br /> PFOVISIONS OF LAWS AND OFDINANCES GOVEANING THIS TYPE OF WORIC WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> S�TE OR LOCALNLA W REGULATING CONSTRUCTION OF THE PERFOF A CE�OF�CONS�RUCTION.` THAT��M A/UTHORIZED BYHTHE <br /> OWNER OF THIS PAOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRAC'ORS L4W iB.27 RCW AND 296.200 WAC. � <br /> ) <br /> ZZ D � FEE <br /> Signawre Da <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ���0(-O(osr <br />