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� � <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVEREIT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETf, WA 98201 <br />FHONE: (425)257-8810 <br />F,qa: (425)257-8857 � <br />, _ COtol�o�l <br />; G � 3 1,vM ��� WU�-- �.s <br />PROJECT ADDRESS �Gai I,a,� I/Yu� V 1�'"`- <br />�� .n, r-r< n � ... <br />Owner <br />�� i � <br />Tenant <br />Mail Address <br />Mail Address <br />Conlractor Mail Address <br />State License Number <br />�/�(,��'! lc✓1 Y�i�� .�-�iG� t��t/�� <br />/ <br />Proposed Use of Bwlding <br />Description of Work to 8e Done: <br />Ciry <br />Ciry <br />City <br />%v`P� �.vr� ���`� � <br />State/Zip Phone <br />Stale2ip Phone <br />State2ip Phone <br />ConL•act Price of Work <br />Contact Person (Plan Aeview) <br />C• <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED PLANSEBEFORE �C TY�OF E ER�E'fT PERM TAWILL BEHS�UED. J WACM296 46-H OW ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS I�IILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, ��1C OR AC CABLE. <br />HANDIC.�PPED ACCESSI3ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 5I WCHES ABOVE THE F OOR.�W C 5120 SEC 3 106(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESI OF WAC 5E 20 SEC. SN 6(b 4CE & FI AND N�OT LES�S THAN 36LINCHES ABOV�EUTHE �F OOR IN THE REACH <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KN04i' THE SAME TO BE TFUE AND CORRECT. ALC <br />PROVISIONS OF LAWS AND OFOINANCES GOVERNING THIS TYPE OF WOAK 4VILL 8E COhIPLETED WHETHER SPECIFIED HEREIN OR <br />SO TE OF LOCALNLI W REGULATING CCN3TFUCTSON�OR THE PEF OR ANC OOF CO STFiUCTION.L THAT FOM A�THOFIZED BY THE <br />QONTRACTORSIS� vFBZER��TCw�O Dz96FZa0WAC.E WORK FOR WHICH APPLICATION fS M11ADE 1ANDOi OC sP��� H THE STATE <br />G 9 <br />�a�v <br />SignaWre <br />FEE <br />