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ELE�: i RICAL PERMIT Ai-PLICATION <br /> CITY �F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ���7 1 Yl����� <br /> PROJECT ADDRESS r �� �c � �� <br /> � m�y, �� I[�\ l_G_i�v <br /> Owner � Mail Address <br /> City State/Zip Phone <br /> �-+�oY\A�`C�1\ tii�-�+'d1f](�1�'��` <br /> �i��, State2ip Phone <br /> Tenar�t Mail Address <br /> C�,� `�- a� ��„ �, ���\ �� ��-1- �q� <br /> �'�_��r` �YfL C+� Stata2ip Phone <br /> Electrical Contractor Mail Address C �' �� <br /> �-�� F�-'��-)h�l' — Coniract?' iceoiVyor�k— <br /> State License Number <br /> Contact Person (Pian Review) <br /> Proposed Use of Building <br /> Descriplion of Work lo Be Done: <br /> ��,/�I�f n � ��✓C'.52� l..l � OI'1 <br /> ��L��u ��"r� � <br /> i O <br /> NOTE: PLA�S FOR ELECTFICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED PLANSEBEFORt �C TYrQF E ER�ETT PERM T�WILL BIEHSSUED.J WACM 96 46-H O,N ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REDUIRED TO BE IN RACEWAYS, MC OH AC CABLE. <br /> NiTHIN ACCESSIBLE SPACES OR ALONG IACCESS B C�R UTES OF�TRAVEL SHALLBE MOUNT D �A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOJR. WAC 51•20 SEC. 3106(c)2. <br /> ACCES�SNBLENSPF.CES OR ALONG A�CCES918LE OUTES OF TRAVDEL�SHALL BE•PMOUNTED W TIH NETHE REACIH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F P.ND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EX h�IINED THIS APPLICATIUN AND KNOW THE SAME TO BE TRUE AND CUFFECT. ALL � <br /> PROVISIUNS OF LAWS AND ORDINANCES (' V . NING TH75 TYPt OF WORK WILL 6E COMPLE7ED WHETHER SPEGFIED HEREIN OR <br /> S�ATEOR �OCALNLAWFREGU T� DOEONST 'CTION OR THE PERFOF�ANCE O�CONS�UCTION.L THAT FAOM A'OUTHORIZED BY THE <br /> OWNER OF ThIIS PFOPERTY T PEFFOR THE WORK FOR WHICH APPLICATION IS MADE ANO 7 COM,PLY WITH THE STATE <br /> GONTRACTORSL;iW78.DRC AND296.?f� LVAC. <br /> �� � �� � � FEE <br /> �91 nature � Date <br /> % �d3o3-i � S <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />