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ELEC*r�ICAL PERMIT AF .'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> / �G-c� <br /> %�/�/ /��.�, ��.-� y3�_-s'��J _ <br /> PROJECT ADDRESS �� � � -� <br /> �' �. sy- r�,,. �,� <br /> �'v � �x-�� Slate2ip Phone <br /> Owner <br /> Mail Address ���y <br /> State2ip Phone <br /> Tenant <br /> Mail Address City y+E'o <br /> �/� 7 /"�/s �Y�l /�i/�y�-� ��,4 9 8» � �».�=6�i , <br /> !Gv�G� ���lGTT��= �G`'� Phone <br /> P/-b�S> Ciry State2ip <br /> Fleclrical CoNractor Mail Address <br /> ��D/�l%��LD 7 �/��{ — Contract P rice of W ork <br /> Slate License Number <br /> j's" �''�� � Contact Person (Plan Review) <br /> Proposed Use of Building <br /> / ' / /� / � <br /> Descripiion of Work to Be Done: <br /> Lv!✓�K � � v�i ._� ;:: c�ci�/'s�=. <br /> 1 • �- <br /> ��GC I_/���lcJ c'. C�ir�Gc�I / /ti O��i E% ' G� / <br /> NOTE: PLANS FOR ELECTRICA� WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED PLANSEBEFORE OCITY/OF E ER�ETT PERM TAWILL BIEHSSUED.J WACM 96 46-H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACE'NAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I NCHESSABO E THE FLOOR.AWAC 5120 SEC 3 jpg�02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.SN 6(b)4CE & FI ANDRN�OT LES�S THAN 36LINCHES ABOV�EUTHE�FLppR IN THE REACH <br /> I HEREBY CERTIFY THAT I HAL'E READ ANO EXAh11NED THIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND CORRECT. ALL <br /> NOT,VTH'�GAA�NTING OF A P A��T DOES NO�PRESUME TO GIVE A�HOR�TY TO'VIOI.AT�OR CANCE�HE PFOVISIONS OFAN�O'TH�ER <br /> OWNEF OF�HIS PROPERTYATO PEAFORMUTHE WORKT FOREWH�H1 APPLI�ATION SSRMAD� ANDHACOMPLYULNITH'7HEeSTA�E <br /> CONTFACTORS LAW 78.27 ACW AND 296.200 WAC. <br /> FEE <br /> ���� ,r /�.�-<-. 7�i�--�� <br /> Date <br /> SignaWre <br /> DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br /> C o 3c� -c�(3 <br />