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.-_ <br /> ELE RICAL PERMIT A� PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEI", EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��,�/ s L��.� ��,v;�,� �� <br /> PROJECT ADDRESS / <br /> .�i'_ " _ !.. �: - —.i� :"' "�..2:�1 .2' -_,?S•1 'S�S�S�f <br /> ��(ryE � �� c: � c , <br /> Owner Mail Address City State2ip Phone <br /> �`.9,�H -�//- ��s��,s�a��'�sli,Sr Lu�6sn� ��� ��"� ��-� r,�.� � �/,�s=.3�5�-ss:�- <br /> Tenant Mail Address City State2ip Phone <br /> �U/�E�- Phone <br /> Electrical Confractor Mail Address City State2ip <br /> State License Number CoNract Price of Work <br /> �� _ <br /> S' G' ' r %f'F�_ <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> `� ���C /`�oclf� <br /> Description of Work to 6e Done: �/1 1� � � C L� 11 (�' `�' ��� � �� -- <br /> � � <br /> � �1���� � iz � ��r� u, � — <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILII"IES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACIL!TIE�S AND ALL HOEALTH C E FACILITI SI PLANS 1NSLLE E REV E W ED BY TFiIS OFFI OTHER <br /> NOTE: WiRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC ON AC C:A9LE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS `SY:TEM FaECEPTACLES ON WALLS <br /> OF 1b N HESSA80 E THECFLOOR.AWAC 5120 SEC. 3106(�2TES OF 1"RA.tL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL P,ND OTHER CONTROL RECEFTACLES AND OTHER OPER.48LE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.�3N 6(b 4CE & FI A DR OTTLES�S THAN 36LINCHES ABOV�ELTHE �LOOR�N THE RE.ACH <br /> 1 HEREBY CERTIFV TNAT 1 HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TFUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIA' OR <br /> NOT, THE GRANTING OF A PERMIT DOES NO,T PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTh!ER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCT/ON. THAT I!Y1 AUTHORIZED BY Ti-IE <br /> OWNER OF THIS PROPERTY TO PERFOFM14 THE WOFK FOA WHICH APPLICA710N IS MAUE AND 1 CO�v1P?�LNITH THE STAI"E <br /> CONTflACTORS LAW 7827 F7CW AND 296.200 WAC. �� � �. � <br /> � ' / /�C�, FEE � • �'V <br /> , �! � �-/ �-� <br /> Ignature �/ Date � <br /> DEBIT&CREDIT CAfiDS ARE NOT ACCEPTED �-=U � G �^C��I I <br />