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APPLICATION FOR ELECTRICAL PERMIT � <br /> CItY OF EVERETT <br /> BU.+LDING DIV/SION <br /> 3200 CEDAR STREET <br /> fVERETT, WA 98201 <br /> PHONE:(415)257-8810 <br /> F,q)(: (42:.�1257•8857 <br /> PROJECT ADDRESS � I <br /> I g I o ��g (0.,�� A��e <br /> Owner <br /> Mail Address City State2ip Phone <br /> C�2co I�e�maN�v l�l/o �',�SIu� A�e ���e�f 4a��� aod- 3r6 -o663 <br /> Tenant <br /> Mail Address City SletelLlp Phone <br /> Electrical Contractor <br /> Mail Address City Slate2ip Phone <br /> d L�N C�t Contract Price of W ork <br /> State License Number <br /> Praposed Use of Building Contact Person (Plan Review) <br /> Descriptfon of Work to Be Done: R9—uJ 1 Rk Y`a u s�- <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WlTH SUCH JOBS MUST SHOW THE STATE <br /> EDU�TIONAL FACILBITIE3 AND ALL�HEALTH CARE FACILiI'I SI PLANS IWSLL E RE EW ED BY THIS OFFI OTHER <br /> NOTE: WIRlNG IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 4a'WCHES ABO E THE FLOOR.AWA 51A-20 SEC 3 106(c 2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPiv1ENT WITHIN <br /> RANGES�OF WAC SE 20 S CLONos�b)4CE&FI AND NOT L SS THAN 36LINCHES ABO EUTHE�F OOR IN THE REACH <br /> 1 HEREBY CEATIFY THAT 1 HAVE RE'!D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO COFRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, Tt�E GFANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> OWNfA OF rHAS PROPERTY TO PERFOAM THE WORKT FOREWN�CH APPLICATIO�N�SRMADE AND 1 COhiPLYUWITN ZTNE STATE <br /> CONTHACfitAS LAW 78.27 RCW AND 296.200 WAC. <br /> ! � i <br /> i,�%i�i'�'LG(.vN�1' r7'�7��2_. O J FEE <br /> Signawre Date F occ�{�,n3 <br /> ❑�c�ncioo�ono. <br />